Individual provider Active NPI

Aneela Yaqoob, M.D

  • Infectious Disease Physician
  • Canton, MI
National Provider Identifier
1104099266
Registry record updated May 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301075063 Issued in MI
Practice address
3515 Parklawn Dr
Canton, MI 48188-2315
Phone
(734) 658-6681
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301075063 MI Primary

Addresses

Primary practice location

3515 Parklawn Dr
Canton, MI 48188-2315

Mailing address

3515 Parklawn Dr
Canton, MI 48188-2315
Phone (734) 658-6681

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
I20090608000474 MI Practitioner - Internal Medicine 8325198617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25410 Goddard Rd
Taylor, MI 48180-6200
Phone (734) 377-0892

Hospital & facility affiliations

  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075063MIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aneela Yaqoob MD PLLC Infectious Disease CurrentSince Apr 1, 2010 Accepting new patients
Geriatric Care Associates PLC Past Accepting new patients

Locations

25410 Goddard Rd
Taylor, MI 48180
Phone (313) 291-9900

Interoperability endpoints

  • Direct secure messaging: ayaqoob1262559@epic00.shdirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432425600000",
    "number": "1104099266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 PARKLAWN DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882315",
            "telephone_number": "734-658-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 PARKLAWN DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882315",
            "telephone_number": "734-658-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQOOB",
        "first_name": "ANEELA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2015-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301075063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.