NPIMap

Individual provider Active NPI

Yakoub Katri, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1205049962
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
240768 Issued in NY
Practice address
339 Hicks St
Brooklyn, NY 11201-5509
Phone
(718) 780-1000
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 240768 NY Primary

Addresses

Primary practice location

339 Hicks St
Brooklyn, NY 11201-5509

Mailing address

2153 E 8TH St
Brooklyn, NY 11223-4941
Phone (917) 607-3732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090708000405 NY Practitioner - NephrologyPractitioner - Internal Medicine 2769533553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diamond Medical Associates PCGroup PAC ID 6901884287, 7 clinicians

Practice addresses (Care Compare)

440 Ave U
Brooklyn, NY 11223-4010
Phone (718) 627-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.02 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
SV Operating Three LLC CurrentSince Jul 1, 2024 Accepting new patients
Diamond Medical Associates PC CurrentSince Jul 1, 2009 Accepting new patients
Palm Gardens Care Center LLC Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
KFG Operating I, LLC Past Accepting new patients

Locations

440 Avenue U
Brooklyn, NY 11223
Phone (718) 627-8700

11502 Ocean Promenade
Rockaway Park, NY 11694
Phone (718) 627-8700

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: yak9018@direct.nyp.org
  • Direct secure messaging: yakoubkatri@mai.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Richmond Center for Rehabilitaion and Specialty HealthcareStaten Island, NY, CCN 335772 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • SV Operating Three LLC

    dba Richmond Center for Rehabilitation and Specialty Healthcare

    • Skilled Nursing Facility
    • Staten Island, NY
    • NPI 1376813238

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • SV Operating Three LLC

    dba Richmond Physician Group

    • Geriatric Medicine (Internal Medicine) Physician
    • Staten Island, NY
    • NPI 1396003182

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 6

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205049962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 E 8TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112234941",
            "telephone_number": "917-607-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015509",
            "telephone_number": "718-780-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATRI",
        "first_name": "YAKOUB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.