Individual provider Active NPI

Yu Wang, MD

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1780766931
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00048868 Issued in WA
Practice address
16150 NE 85TH St
Suite 109
Redmond, WA 98052-3539
Phone
(425) 698-7436
Fax
(425) 526-7288
NPI assigned
Oct 19, 2006
Last updated
Feb 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5070 NE
Family Medicine Physician 207Q00000X 5070 NE
Family Medicine Physician 207Q00000X MD00048868 WA Primary
Family Medicine Physician 207Q00000X 36919 IA

Addresses

Primary practice location

16150 NE 85TH St
Suite 109
Redmond, WA 98052-3539

Mailing address

16150 NE 85TH St
Suite 109
Redmond, WA 98052-3539
Phone (425) 698-7436

Other identifiers 5

IdentifierTypeStateIssuer
P00455204OtherWAMEDICARE RAILROAD
36919OtherIAIA MEDICAL LICENSE
8498495OtherMEDICAL ASST ID (MEDICAID
MD00048868OtherWAWA MEDICAL LICENSE
5070OtherNESTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000294 WA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Emergency Medicine 1254331655 Practice locations: Redmond, WA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16150 NE 85TH St
109 Yu Wang MD Family Medicine LLC
Redmond, WA 98052-3541
Phone (425) 526-7222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5070NEMDFamily Medicine Physician

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360540800000",
    "number": "1780766931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST",
            "address_2": "SUITE 109",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523539",
            "telephone_number": "425-698-7436",
            "fax_number": "425-526-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST",
            "address_2": "SUITE 109",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523539",
            "telephone_number": "425-698-7436",
            "fax_number": "425-526-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "YU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "5070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "5070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00048868",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "36919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00455204",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA MEDICAL LICENSE",
            "identifier": "36919",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASST ID (MEDICAID",
            "identifier": "8498495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MEDICAL LICENSE",
            "identifier": "MD00048868",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "5070",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.