TIMOTHY OUYANG PA-C
NPI 1730864638
Physician Assistant - Medical in Minneapolis, MN

Active since June 19, 2023PECOS EnrolledAccepts Medicare Assignment
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422(763) 267-8701 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2026, Jun 19, 2023 (2 updates tracked since 2023).

About Timothy Ouyang Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY OUYANG PA-C (NPI 1730864638) is an individual medical provider in Minneapolis, Minnesota, licensed in Minnesota (15368) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730864638
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTIMOTHY OUYANGCredential: PA-C
Location Address1415 LILAC DR N STE 190Minneapolis, MN 55422-4544
Mailing Address1415 Lilac Dr N Ste 190Minneapolis, MN 55422-4544 · (763) 267-8701
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2023
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1730864638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MN · 15368
1415 LILAC DR N STE 190, Minneapolis, MN 55422

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy Ouyang Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850890252
PECOS Enrollment IDI20250814000828
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Mayo Clinic Health System New Prague

Critical Access Hospitals · New Prague, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241361
Location301 2nd Street NortheastNew Prague, MN 56071 · Scott County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Family Medicine
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Family)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Adult Health)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Ouyang's NPI number?

The NPI number for Timothy Ouyang is 1730864638. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Timothy Ouyang located?

Timothy Ouyang practices at 1415 Lilac Dr N Ste 190, Minneapolis, MN 55422. The listed phone number is (763) 267-8701.

What is Timothy Ouyang's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Timothy Ouyang enrolled in Medicare?

Yes. Timothy Ouyang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Timothy Ouyang affiliated with any hospitals?

According to CMS data, Timothy Ouyang is affiliated with Ridgeview Medical Center and Mayo Clinic Health System New Prague.

When was this NPI record last updated?

The NPPES record for Timothy Ouyang was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.