NPIMap

Individual provider Active NPI

Mohammad M. Yaqub, M.D.

  • Internal Medicine Physician
  • Atlantis, FL
National Provider Identifier
1164616157
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME99808 Issued in FL
Practice address
101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone
(561) 612-8080
Fax
(561) 612-8084
NPI assigned
Sep 1, 2007
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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 ME99808 FL Primary

Addresses

Primary practice location

101 John F Kennedy Dr
Atlantis, FL 33462-1119

Mailing address

101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone (561) 612-8080

Other names 1

  • N/a N/a N/a Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071210000577 FL Practitioner - Internal MedicinePractitioner - Hospitalist 7012006315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mohr Medical LLCGroup PAC ID 7214263235, 6 clinicians

Practice addresses (Care Compare)

101 John F Kennedy Dr
Atlantis, FL 33462-1119
Phone (561) 612-8080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohr Medical LLC CurrentSince Sep 1, 2020 Accepting new patients
East Florida Primary Care LLC Past Accepting new patients

Locations

101 John F Kennedy Dr
Lake Worth, FL 33462
Phone (561) 612-8080

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18387/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mohammad.yaqub.1@18387.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1188604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1164616157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-612-8080",
            "fax_number": "561-612-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JOHN F KENNEDY DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621119",
            "telephone_number": "561-612-8080",
            "fax_number": "561-612-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQUB",
        "first_name": "MOHAMMAD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-01",
        "last_updated": "2023-09-26",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME99808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.