Mina M Yacoub, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD33941 Issued in DC

Practice address

1328 Southern Ave SE
Ste 312
Washington, DC 20020

Phone

(202) 563-2844

Fax

(202) 563-2337

NPI assigned

Jun 27, 2005

Last updated

Nov 29, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA3 enrollments

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 3

Specialty

Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians

Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cedar Hill Regional Medical Center Hospital, Washington, DC, CCN 090012
• Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141
• Reston Hospital Center Hospital, Reston, VA, CCN 490107
• Medstar Saint Mary's Hospital Hospital, Leonardtown, MD, CCN 210028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Faculty Associates, Inc

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1417990581

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Intensive Care Consortium Inc

  • Specialist
  • Aventura, FL
  • NPI 1629019062

  Critical Care Medicine, DC, VA

  Medicare reassignment Care Compare group NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Hesyra Medical Associates LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1093955239

  DC, VA

  Medicare reassignment Authorized official
• It Hospitalist Services

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1669942983
  Medicare reassignment NPD
• Anacostia Critical Care Medicine LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1518878206
  NPD (past) Authorized official
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• Medstar Medical Group II LLC

  dba MMG Emergency Medicine Cfnrg

  • Emergency Medical Services (Emergency Medicine) Physician
  • Washington, DC
  • NPI 1558189712
  NPD
• Capitol Care Medical Associates

  • Critical Care Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1891882098
  NPD (past)
• Chest Associates

  • Specialist
  • Washington, DC
  • NPI 1770678849
  NPD (past)
• Uhs East End Sub, LLC

  dba Cedar Hill Regional Medical Center

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1285492892
  NPD (past)
• Cruz-Lee-Llacer & Associates P a

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1033247390
  NPD (past)

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

• Uhs East End Sub, LLC

  dba Cedar Hill Regional Medical Center

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1285492892
  Care Compare affiliation
• Reston Hospital Center LLC

  dba Reston Hospital Center

  • General Acute Care Hospital
  • Reston, VA
  • NPI 1053363853
  Care Compare affiliation
• Spotsylvania Medical Center Inc

  dba Spotsylvania Regional Medical Center

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1376876664
  Care Compare affiliation
• St Marys Hospital of St Marys County Inc

  dba MedStar St. Mary's Hospital

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473
  Care Compare affiliation

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1073519823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE",
            "address_2": "STE 312",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-563-2844",
            "fax_number": "202-563-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE",
            "address_2": "STE 312",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20020",
            "telephone_number": "202-563-2844",
            "fax_number": "202-563-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "MINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD33941",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101232738",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DC",
            "license": "MD33941",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0063530",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DC",
            "license": "MD33941",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0063530",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC RAILROAD",
            "identifier": "P00381288",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "6875-0048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xiaolu Xu, MD
• Weihua Xuan, HHA
• Chengjiaoyang Xue
• Felicia K Yaamenseh
• Caroline Lee Yacoe, LGPC
• Gabriella Kristin Yacovone, MD
• Nilda Yadao, M.D.
• Bhupender Yadav, M.D.
• Esrael Yadeta
• Hundaol Shamsan Yadeta, MD

• Internal Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Internal Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.