Individual provider Active NPI

Yousif Abdullah Yonan, M.D.

  • Dermatology Physician
  • Paradise Valley, AZ
National Provider Identifier
1174918387
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
52692 Issued in AZ
Practice address
7125 E Lincoln Dr Ste A101
Paradise Valley, AZ 85253-4429
Phone
(480) 398-1550
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 52692 AZ Primary

Addresses

Primary practice location

7125 E Lincoln Dr Ste A101
Paradise Valley, AZ 85253-4429

Mailing address

7125 E Lincoln Dr Ste A101
Paradise Valley, AZ 85253-4429
Phone (480) 398-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160826000952 AZ Practitioner - Dermatology 3779895990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Pennsylvania State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brenda Latowsky M.D. P.L.C.Group PAC ID 3678741626, 11 clinicians

Practice addresses (Care Compare)

20201 N Scottsdale Healthcare Dr
Suite 260
Scottsdale, AZ 85255-4140
Phone (480) 398-1550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions1376
Removal or shaving of skin growth87
Skin biopsy620

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52692AZMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda Latowsky M.D. P.L.C. CurrentSince Apr 1, 2021 Accepting new patients

Locations

7125 E Lincoln Dr
Ste A101
Paradise Valley, AZ 85253
Phone (480) 398-1550

8406 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 398-1550

8841 E Bell Rd
Ste 201
Scottsdale, AZ 85260
Phone (480) 398-1550

20201 N Scottsdale Healthcare Dr
Scottsdale, AZ 85255
Phone (480) 398-1550

20201 N Scottsdale Rd
Ste 260
Scottsdale, AZ 85255
Phone (480) 398-1550

20201 N Scottsdale Healthcare Dr
Ste 260
Scottsdale, AZ 85255
Phone (480) 398-1550

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1174918387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 E LINCOLN DR STE A101",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534429",
            "telephone_number": "480-398-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 E LINCOLN DR STE A101",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534429",
            "telephone_number": "480-398-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONAN",
        "first_name": "YOUSIF",
        "middle_name": "ABDULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "52692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

Sources for this page

Verify at the official NPI Registry.