Individual provider Active NPI

Timothy Yeh, MD

  • Hematology & Oncology Physician
  • Mora, MN
National Provider Identifier
1912981887
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
24143 Issued in MN
Practice address
301 Highway 65 S
Mora, MN 55051-1899
Phone
(320) 225-3432
NPI assigned
Dec 2, 2005
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 24143 MN Primary

Addresses

Primary practice location

301 Highway 65 S
Mora, MN 55051-1899

Mailing address

301 Highway 65 S
Mora, MN 55051-1899
Phone (320) 225-3432

Other identifiers 1

IdentifierTypeStateIssuer
059395800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, MT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040513000163 MN Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9335049279 Reassigns benefits to 6 organizations
I20100715000494 ND Practitioner - Hematology/Oncology 9335049279 Reassigns benefits to 1 organization
I20260114003886 MT Practitioner - Hematology/Oncology 9335049279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 447-2828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24143MNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Jul 19, 2022 Accepting new patients
Fairview Health Services Current Accepting new patients
Altru Health System Hematology & Oncology Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince Jul 19, 2022 Accepting new patients
Altru Health System CurrentSince Dec 2, 2019 Accepting new patients
Altru Health System CurrentSince Dec 2, 2019 Accepting new patients
St. Peter's Health CurrentSince Jan 16, 2026 Accepting new patients
Lakewood Health System Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Jul 19, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jul 18, 2022 Accepting new patients
Healtheast Medical Research Insititue CurrentSince Jul 18, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Express Care CurrentSince Jul 19, 2022 Accepting new patients
Altru Health System CurrentSince Aug 25, 2020 Accepting new patients
St Peters Hospital CurrentSince Jan 16, 2026 Accepting new patients
Fairview Health Services CurrentSince Jul 19, 2022 Accepting new patients
Altru Health System Current Accepting new patients
Fairview Express Care CurrentSince Jul 19, 2022 Accepting new patients
Major Hospital Past Accepting new patients
St Peter's Health Past Accepting new patients

Locations

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

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

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Interoperability endpoints

  • Direct secure messaging: tyeh733842@fairview.direct-ci.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 4

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1912981887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-225-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-225-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEH",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MN",
            "license": "24143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059395800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, MN

Sources for this page

Verify at the official NPI Registry.