Individual provider Active NPI

Hoseong Yang, MD PHD

  • Dermatology Physician
  • Tamuning, GU
National Provider Identifier
1922323500
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0078006 Issued in MD
Practice address
633 Gov Carlos G Camacho Rd Ste 102
Tamuning, GU 96913
Phone
(671) 588-5001
Fax
(671) 649-5003
NPI assigned
Apr 7, 2010
Last updated
Oct 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0078006 MD Primary

Addresses

Primary practice location

633 Gov Carlos G Camacho Rd Ste 102
Tamuning, GU 96913

Mailing address

633 Gov Carlos G Camacho Rd Ste 102
Tamuning, GU 96913-3143
Phone (671) 588-5001

Other practice location 1

1500 Orleans St
Koch CRB2 Suite 206
Baltimore, MD 21231
Phone (410) 756-8662

Other practice location 2

1500 Orleans St
Koch CRB2 Suite 206
Baltimore, MD 21231
Phone (410) 756-8662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20191218001298 GU Practitioner - Dermatology 5092964932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Dermatology Institute LLCGroup PAC ID 7012341456, 3 clinicians

Practice addresses (Care Compare)

633 Gov Carlos G Camacho Rd
Suite 102
Tamuning, GU 96913-3143
Phone (671) 588-5001

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision281
Removal of skin lesions997
Removal or shaving of skin growth1-10
Skin biopsy237

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078006MDMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Dermatology Institute LLC Dermatology CurrentSince Oct 28, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

633 Gov Carlos G Camacho Rd
Ste 102
Tamuning, GU 96913
Phone (671) 588-5001

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

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1922323500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD STE 102",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133143",
            "telephone_number": "671-588-5001",
            "fax_number": "671-649-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD STE 102",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-588-5001",
            "fax_number": "671-649-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Orleans St",
            "address_2": "Koch CRB2 Suite 206",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21231",
            "country_code": "US",
            "telephone_number": "410-756-8662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Orleans St",
            "address_2": "Koch CRB2 Suite 206",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21231",
            "country_code": "US",
            "telephone_number": "410-756-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "HOSEONG",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0078006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.