YANAN SHANG (M.D.) – Neurology Physician, NPI 1174674006

YANAN SHANG (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in Neurology Physician. They hold the professional credentials M.D.. They hold a License No. MD60226728 (WA). The NPI Number for YANAN SHANG (M.D.) is 1174674006

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
YANAN SHANG (M.D.)
NPI
1174674006
Phone
(503) 494-7772
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
16 January 2007
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
TOLEDO MEDICAL COLLEGE
Secondary Phone
8008132000
Graduation Year
2006 (20 years ago)
PAC ID
7719150846
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20111104000198
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for YANAN SHANG (M.D.)

  • 3181 SW SAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7772

    Fax: (503) 418-3283

    Type: Mailing

  • PeaceHealth, 1115, Southeast 164th Avenue, Vancouver, Clark County, Washington, 98683, United States

    DEPT. 358

    VANCOUVER, WA 986839324

    Phone: (360) 729-1462

    Fax: (360) 729-3104

    Type: Mailing

  • PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States

    LONGVIEW, WA 986322367

    Phone: (360) 414-2730

    Fax: (360) 414-2739

    Type: Location

  • 3303 S BOND AVE

    PORTLAND, OR 972394501

    Phone: (503) 494-7772

    Fax: (503) 418-3283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111104000198INeurologyWATBD
I20161027002089INeurologyORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or5117$0
99215Established patient office or other outpatient visit, 40-54 minutes2719$0
99205New patient office or other outpatient visit, 60-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

Can I verify YANAN SHANG (M.D.) with an NPI only?
You can start verification with NPI 1174674006 for YANAN SHANG (M.D.), then check state licensing separately.
Is YANAN SHANG (M.D.) listed as active for patients and plans?
The listing shows YANAN SHANG (M.D.) as active in the NPI system.
What is YANAN SHANG (M.D.) best known for clinically?
Directory data describes YANAN SHANG (M.D.) with Neurology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for YANAN SHANG (M.D.)?
YANAN SHANG (M.D.)'s geographic hint is Portland, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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