NPIMap

Individual provider Active NPI

Lysandra Y Yang, MD

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1871156307
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S8787 Issued in TX
Practice address
1428 W Hebron Pkwy Ste 110
Carrollton, TX 75010-6347
Phone
(972) 939-4555
Fax
(972) 939-7020
NPI assigned
Apr 19, 2019
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 S8787 TX Primary

Addresses

Primary practice location

1428 W Hebron Pkwy Ste 110
Carrollton, TX 75010-6347

Mailing address

1428 W Hebron Pkwy Ste 110
Carrollton, TX 75010-6347
Phone (972) 939-4555

Other names 1

  • Lysandra Chan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722001268 TX Practitioner - Family Practice 6406181387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

6800 State Hwy 121
McKinney, TX 75070-2905
Phone (469) 800-5680

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 10, 2025 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Mar 10, 2025 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Precision Family Medicine, PA Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Healthtexas Provider Network Family Medicine Past Accepting new patients

Locations

1428 W Hebron Pkwy
Ste 110
Carrollton, TX 75010
Phone (800) 555-9073

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

6800 State Highway 121
McKinney, TX 75070
Phone (469) 800-5680

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: lyang1375493@direct.sw.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1871156307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106347",
            "telephone_number": "972-939-4555",
            "fax_number": "972-939-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106347",
            "telephone_number": "972-939-4555",
            "fax_number": "972-939-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "LYSANDRA",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYSANDRA",
            "last_name": "CHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.