NPIMap

Individual provider Active NPI

Tom Dejian Yan, M.D.

  • Pulmonary Disease Physician
  • Silverdale, WA
National Provider Identifier
1962515742
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD00046082 Issued in WA
Practice address
1950 NW Myhre Rd FL 2
Silverdale, WA 98383-7662
Phone
(564) 240-4000
Fax
(564) 240-4049
NPI assigned
Aug 16, 2006
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD26497 OR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD00046082 WA
Pulmonary Disease Physician 207RP1001X MD26497 OR
Pulmonary Disease Physician 207RP1001X MD00046082 WA Primary

Addresses

Primary practice location

1950 NW Myhre Rd FL 2
Silverdale, WA 98383-7662

Mailing address

1950 NW Myhre Rd FL 2
Silverdale, WA 98383-7662
Phone (564) 240-4000

Other practice location 1

19917 7th Ave NE Ste 210
Poulsbo, WA 98370-6555
Phone (564) 240-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tyan125639@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20071127000337 WA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5890883987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

2512 Wheaton Way
Suite a
Bremerton, WA 98310-3303
Phone (360) 479-8022

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Harrison Medical Center Past Accepting new patients

Locations

2512 Wheaton Way
Ste A
Bremerton, WA 98310
Phone (253) 539-4200

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

19917 7th Ave NE
Ste 210
Poulsbo, WA 98370
Phone (360) 744-1605

1950 NW Myhre Rd
Fl 2
Silverdale, WA 98383
Phone (564) 240-4000

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

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 9

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1962515742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NW MYHRE RD FL 2",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837662",
            "telephone_number": "564-240-4000",
            "fax_number": "564-240-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 NW MYHRE RD FL 2",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837662",
            "telephone_number": "564-240-4000",
            "fax_number": "564-240-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19917 7th Ave NE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983706555",
            "country_code": "US",
            "telephone_number": "564-240-4000",
            "fax_number": "360-377-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAN",
        "first_name": "TOM",
        "middle_name": "DEJIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "MD26497",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD00046082",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD26497",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00046082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyan125639@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1950 NW Myhre Rd Fl 2",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983837662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.