Individual provider Active NPI

Peter Thai Yang, MD

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1750459012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44150 Issued in MN
Practice address
1504 White Bear Ave North
Saint Paul, MN 55106
Phone
(651) 771-5778
Fax
(651) 771-5775
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44150 MN Primary

Addresses

Primary practice location

1504 White Bear Ave North
Saint Paul, MN 55106

Mailing address

1504 White Bear Avenue North
Saint Paul, MN 55106
Phone (651) 771-5778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050408000672 MN Practitioner - Family Practice 2860439122 Reassigns benefits to 1 organization
I20221216001162 OK Practitioner - Family Practice 2860439122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

36 W Memorial Rd
Suite C3
Oklahoma City, OK 73114-2312
Phone (405) 755-3110

6732 E 41St St
Tulsa, OK 74145-4519
Phone (800) 900-6647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44150MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, PA CurrentSince Dec 5, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2010 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
American Current Care P.a. CurrentSince Dec 5, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 1, 2010 Accepting new patients

Locations

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

36 W Memorial Rd
Ste C3
Oklahoma City, OK 73114
Phone (405) 755-3110

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750459012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WHITE BEAR AVENUE NORTH",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-771-5778",
            "fax_number": "651-771-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 WHITE BEAR AVE NORTH",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-771-5778",
            "fax_number": "651-771-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "PETER",
        "middle_name": "THAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "44150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.