Individual provider Active NPI

Yakir Konstantin Vaks, M.D.

  • Psychiatry Physician
  • Upland, PA
National Provider Identifier
1104086776
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0074333 Issued in MD
Practice address
One Medical Center Blvd.
Upland, PA 19013
Phone
(610) 447-2000
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD445046 PA
Psychiatry Physician 2084P0800X D0074333 MD Primary

Addresses

Primary practice location

One Medical Center Blvd.
Upland, PA 19013

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819
Phone (410) 938-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141003000853 MD Practitioner - Psychiatry 4981843851 Reassigns benefits to 4 organizations
I20240507001800 DC Practitioner - Psychiatry 4981843851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074333MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services, Inc. CurrentSince Mar 31, 2024 Accepting new patients
Charles County Health Department Current Accepting new patients
Family Services, Inc CurrentSince Mar 31, 2024 Accepting new patients
Sheppard Pratt Physicians, P.a. Psychiatry CurrentSince Sep 2, 2014 Accepting new patients
Charles County Department of Health CurrentSince Sep 7, 2022 Accepting new patients
Mosaic Community Services, Inc. CurrentSince Jul 19, 2022 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jun 14, 2023 Accepting new patients
Mosaic Community Services, Inc CurrentSince Jun 14, 2023 Accepting new patients
Way Station, Inc. Current Accepting new patients
Mosaic Community Services, Inc. Current Accepting new patients
Health Access Network Past Accepting new patients
Sheppard Pratt Health System, Inc. Past Accepting new patients
Sheppard Pratt Health System, Inc. Past Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1931 Greenspring Dr
Timonium, MD 21093

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

849 Fairmount Ave
Fl 5
Towson, MD 21286

4545 Crain Hwy
White Plains, MD 20695
Phone (301) 609-6900

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1104086776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212046819",
            "telephone_number": "410-938-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER BLVD.",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-447-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKS",
        "first_name": "YAKIR",
        "middle_name": "KONSTANTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD445046",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0074333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

Verify at the official NPI Registry.