Individual provider Active NPI

Ellen Y Yang, M.D.

  • Specialist
  • Annapolis, MD
National Provider Identifier
1912955873
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D52170 Issued in MD
Practice address
49 Old Solomons Island Rd
Suite 104
Annapolis, MD 21401-3854
Phone
(410) 573-9511
Fax
(410) 573-4816
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D52170 MD Primary

Addresses

Primary practice location

49 Old Solomons Island Rd
Suite 104
Annapolis, MD 21401-3854

Mailing address

PO Box 1927
Edgewater, MD 21037-7927
Phone (410) 573-9511

Other identifiers 3

IdentifierTypeStateIssuer
611500400MedicaidMD
54608103OtherMDCAREFIRST BCBS
R9960002OtherDCCAREFIRST BCBS/DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20101109001482 MD Practitioner - Infectious Disease 8921192352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Rochester School of Medicine and Dentistry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1127 W St
Suite 105
Annapolis, MD 21401-4284
Phone (410) 573-9511

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maryland Nephrology, LLC Specialist CurrentSince Mar 1, 2001 Accepting new patients
Annapolis Infectious Disease Associates LLP CurrentSince Jul 1, 1999 Accepting new patients

Locations

49 Old Solomons Island Rd
Ste 104
Annapolis, MD 21401
Phone (410) 573-9511

1127 West St
Ste 105
Annapolis, MD 21401
Phone (301) 345-0605

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1912955873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210377927",
            "telephone_number": "410-573-9511",
            "fax_number": "410-573-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD SOLOMONS ISLAND RD",
            "address_2": "SUITE 104",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013854",
            "telephone_number": "410-573-9511",
            "fax_number": "410-573-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ELLEN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D52170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611500400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "54608103",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS/DC",
            "identifier": "R9960002",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.