DR. SAMUEL P. YANG (MD) – Pediatrics Physician, NPI 1174507073

DR. SAMUEL P. YANG (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 12316 (MT). The NPI Number for DR. SAMUEL P. YANG (MD) is 1174507073

Main info

Male
Sole Proprietor
Name
DR. SAMUEL P. YANG (MD)
NPI
1174507073
Phone
Not provided
Address
PO BOX 421
Enumeration Date
5 December 2005
Last Update Date
3 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for DR. SAMUEL P. YANG (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone:

    Type: Mailing

  • 105, West 8th Avenue, Spokane, Spokane County, Washington, 99201, United States

    SUITE 454E

    SPOKANE, WA 992042302

    Phone: (509) 474-3810

    Type: Location

  • 4800 SAND POINT WAY NE

    SEATTLE, WA 981053901

    Phone: (206) 987-2000

    Type: Location

  • PO BOX 297

    AIRWAY HEIGHTS, WA 990010297

    Phone: (530) 867-2788

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2023-03-20 • Largest payer in this snapshot: Horizon Therapeutics plc ($57).

Total Amount

$57

General + Research + Ownership

Payments

1

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Horizon Therapeutics plc$57
View all Open Payments →|Open Payments Risk Radar →

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: 2020-06-09

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
I20151222001535IPediatric MedicineWATBD
I20200609001837IMedical Genetics And GenomicsOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99019)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What identifier follows DR. SAMUEL P. YANG (MD) across health systems?
The NPI 1174507073 uniquely identifies DR. SAMUEL P. YANG (MD) in U.S. healthcare data.
Quick check: is DR. SAMUEL P. YANG (MD) active?
Public NPPES data shows DR. SAMUEL P. YANG (MD) with an active NPI status right now.
What does the directory say DR. SAMUEL P. YANG (MD) does?
Insurance directories may phrase it differently, but here DR. SAMUEL P. YANG (MD) maps to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SAMUEL P. YANG (MD)?
DR. SAMUEL P. YANG (MD) is associated with Liberty Lake, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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