Individual provider Active NPI

Thomas Jacobs Yax, M.D.

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1104078419
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301092520 Issued in MI
Practice address
224 Circle Dr
Traverse City, MI 49684-2700
Phone
(231) 932-4912
Fax
(231) 935-0613
NPI assigned
Oct 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301092520 MI Primary

Addresses

Primary practice location

224 Circle Dr
Traverse City, MI 49684-2700

Mailing address

224 Circle Dr
Traverse City, MI 49684-2700
Phone (231) 932-4912

Other practice location 1

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

Other practice location 2

1105 Sixth St Ste D6
Traverse City, MI 49684-2345
Phone (231) 935-6380

Other practice location 3

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thomas.yax@bafc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20110708000432 MI Practitioner - Family Practice 7416135736 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians
Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, shared by 2 NPIs, 71 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

550 Munson Ave
Traverse City, MI 49686-3580
Phone (231) 935-8460

9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Phone (231) 941-8100

Hospital & facility affiliations

  • Munson Home Care Home health agency, Traverse City, MI, CCN 237025
  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Feb 6, 2014 Accepting new patients
Grand Traverse Physician Services PC Family Medicine CurrentSince Nov 2, 2025 Accepting new patients
Munson Medical Group Family Medicine CurrentSince Jan 1, 2020 Accepting new patients
Munson Medical Center Current Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC CurrentSince Jul 2, 2019 Accepting new patients
Munson Medical Center CurrentSince Feb 6, 2014 Accepting new patients
Munson Medical Group Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince May 29, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince May 29, 2019 Accepting new patients
Munson Medical Group Current Accepting new patients
Munson Medical Group CurrentSince Jan 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jul 2, 2019 Accepting new patients
Munson Healthcare Cadillac PastSince Nov 7, 2025 Accepting new patients
Munson Medical Center Past Accepting new patients
Munson Medical Center Family Medicine Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

2891 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1200 Sixth St
Ste 200
Traverse City, MI 49684

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600

224 Circle Dr
Traverse City, MI 49684
Phone (231) 932-4912

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1105 Sixth St
Ste D6
Traverse City, MI 49684
Phone (231) 935-6380

Interoperability endpoints

  • Direct secure messaging: thomas.yax@bafc.eclinicaldirectplus.com
  • Direct secure messaging: tyax01@direct.mhc.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1104078419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CIRCLE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842700",
            "telephone_number": "231-932-4912",
            "fax_number": "231-935-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CIRCLE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842700",
            "telephone_number": "231-932-4912",
            "fax_number": "231-935-0613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Medical Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847823",
            "country_code": "US",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St Ste D6",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-6380",
            "fax_number": "231-935-6920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Munson Ave",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863580",
            "country_code": "US",
            "telephone_number": "231-935-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAX",
        "first_name": "THOMAS",
        "middle_name": "JACOBS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301092520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.yax@bafc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "906 Business Park Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496868683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.