Active NPI
Hesyra Medical Associates LLC
- Critical Care Medicine (Internal Medicine) Physician
- Laurel, MD
National Provider Identifier
1093955239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- HESYRA MEDICAL ASSOCIATES LLC
- Practice address
- 7300 Van Dusen Rd
Laurel Regional Hospital
Laurel, MD 20707-9463 - Phone
- (301) 497-7900
- NPI assigned
- Feb 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mina M Yacoub, M.D.
- Title
- President
- Phone
- (703) 960-8150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary | ||
| Pulmonary Disease Physician | 207RP1001X |
Addresses
Primary practice location
7300 Van Dusen Rd
Laurel Regional Hospital
Laurel, MD 20707-9463
Mailing address
8904 Garden Gate Dr
Attn: Dr M Yacoub
Fairfax, VA 22031-1471
Phone (703) 960-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235779200000",
"number": "1093955239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8904 GARDEN GATE DR",
"address_2": "ATTN: DR M YACOUB",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220311471",
"telephone_number": "703-960-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 VAN DUSEN RD",
"address_2": "LAUREL REGIONAL HOSPITAL",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079463",
"telephone_number": "301-497-7900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HESYRA MEDICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-28",
"last_updated": "2009-02-28",
"status": "A",
"authorized_official_last_name": "YACOUB",
"authorized_official_first_name": "MINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-960-8150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.