Yasmin Hambaroush Fattah, M.D

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

34652 Issued in FL

Practice address

16250 NW 59TH Ave Ste 201
Miami Lakes, FL 33014-7542

Phone

(203) 500-6657

NPI assigned

Mar 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Yasmin Hambaroush Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Pathology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Great Lakes Pathology PCGroup PAC ID 6608861406, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
• Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Great Lakes Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo, NY
  • NPI 1467481564
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Care Compare affiliation
• Mount St. Mary'S Hospital of Niagara Falls

  • General Acute Care Hospital
  • Lewiston, NY
  • NPI 1043394745
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1013448562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 MALONE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131236",
            "telephone_number": "203-500-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NW 59TH AVE STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330147542",
            "telephone_number": "203-500-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTAH",
        "first_name": "YASMIN",
        "middle_name": "HAMBAROUSH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "R4417",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "34652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YASMIN",
            "last_name": "HAMBAROUSH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Family Quality Health
• Family Quality Health
• Sheila Fanjul
• Glenda Farrada Felico
• Daria Farrat Diaz de Villegas
• Dunya Felipe, APRN
• Sophia M Ferguson, ARNP
• Arianne Feria
• Delma M Fernandez Gregorio
• Lidier A Fernandez Gutierrez

• Dermatopathology (Pathology) Physician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Dermatopathology (Pathology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.