Zhibo Yang, M.D., PH.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P7729 Issued in TX

Practice address

3001 JBS Pkwy
Odessa, TX 79762-8126

Phone

(432) 640-6772

Fax

(432) 640-4708

NPI assigned

May 28, 2013

Last updated

Oct 19, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zyangmd45364@direct.utmb.edu

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.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  Pediatrics

  Medicare reassignment NPD
• Ector County Hospital District

  dba MCH Urgent Care

  • Urgent Care Clinic/Center
  • Odessa, TX
  • NPI 1366680555
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1871930065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-6772",
            "fax_number": "432-640-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 JBS PKWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628126",
            "telephone_number": "432-640-6772",
            "fax_number": "432-640-4708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 W 5th St",
            "address_2": "Suite 460",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797615034",
            "country_code": "US",
            "telephone_number": "432-333-1801",
            "fax_number": "432-334-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "ZHIBO",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "FR0453669-101",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P7729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344507401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hao Ming Wu, M.D.
• Sanchita Yadalla, MD, FACOG
• Emmanuel Yadoglah, DDS
• Ranganayaki Yalavarthi, M.D.
• Kazuhiko Yanagi, ATC, LAT
• Abdallah Yassine
• Yulian Yiavlion Yestin, MD
• Erin Mi You, DDS
• Britni Adams Young, FNP
• Chasity Ann Young, LSA

• Pediatrics Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.