Individual provider Active NPI

Yvette Youssef, MD

  • Internal Medicine Physician
  • Stratham, NH
National Provider Identifier
1124095500
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9690 Issued in NH
Practice address
118 Portsmouth Avenue
Mill Brook Office Park
Stratham, NH 03885
Phone
(603) 772-7764
Fax
(603) 775-0377
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9690 NH Primary

Addresses

Primary practice location

118 Portsmouth Avenue
Mill Brook Office Park
Stratham, NH 03885

Mailing address

PO Box 655
Exeter, NH 03833
Phone (603) 580-6009

Other identifiers 12

IdentifierTypeStateIssuer
0105105YPNH01OtherNHANTHEM
020473740OtherNHHEALTHCARE VALUE MANAGEME
AA13244OtherNHHARVARD PILGRIM
020473740OtherNHTRICARE
020473740OtherNHUNITED HEALTHCARE
30009969MedicaidNH
110193507OtherNHRAILROAD MEDICARE
2316164OtherNHAETNA
020473740OtherNHHUMANA CHOICE CARE NETWOR
020473740OtherNHGREAT WEST HEALTHCARE
295843OtherNHCIGNA
020473740OtherNHPRIVATE HEALTHCARE SYSTEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060926000423 MA Practitioner - Internal Medicine 9537180393 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Boston University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Medical Associates PCGroup PAC ID 4082606413, 15 clinicians

Practice addresses (Care Compare)

250 Pond St
Braintree, MA 02184-5351
Phone (781) 848-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9690NHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Internal Medicine CurrentSince Nov 25, 2015 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Nov 25, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Nov 25, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Nov 25, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Nov 25, 2015 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Nov 25, 2015 Accepting new patients
Encompass Health Rehabilitation Hospital of Braintree, LLC Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

1 University Ave
Westwood, MA 02090
Phone (617) 754-1021

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

Organizations & group practices 9

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 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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1124095500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "03833",
            "telephone_number": "603-580-6009",
            "fax_number": "603-580-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PORTSMOUTH AVENUE",
            "address_2": "MILL BROOK OFFICE PARK",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "03885",
            "telephone_number": "603-772-7764",
            "fax_number": "603-775-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "YVETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "9690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0105105YPNH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE VALUE MANAGEME",
            "identifier": "020473740",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA13244",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "020473740",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "020473740",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009969",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110193507",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2316164",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA CHOICE CARE NETWOR",
            "identifier": "020473740",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTHCARE",
            "identifier": "020473740",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "295843",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "020473740",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

Verify at the official NPI Registry.