Active NPI
Aneela Yaqoob, M.D
- Infectious Disease Physician
- Canton, MI
National Provider Identifier
1104099266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 4301075063
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Corewell Health Wayne Hospital
- Beaumont Hospital - Dearborn
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301075063 | MI | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aneela Yaqoob MD PLLC | Infectious Disease | Current | Accepting new patients |
| Geriatric Care Associates PLC | Past | Accepting new patients |
Locations
25410 Goddard Rd
Taylor, MI 48180
Phone (313) 291-9900
Interoperability endpoints
- 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.
-
- Infectious Disease Physician
- Wayne, MI
- NPI 1831414622
-
- Nursing Care Agency
- Canton, MI
- NPI 1063648269
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2015; 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.