Liliane K Yacoub, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

81649 Issued in MA

Practice address

70 East St
Attn Pathology Dept
Methuen, MA 01844-4597

Phone

(978) 687-0156

Fax

(978) 691-5709

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Pathology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawrence General HospitalGroup PAC ID 5092725200, 124 clinicians

Community Medical Associates, Inc.Group PAC ID 6002946928, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Family Hospital Hospital, Methuen, MA, CCN 220080
• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
• Parkland Medical Center Hospital, Derry, NH, CCN 300017

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Community Medical Associates, Inc.

  • Family Medicine Physician
  • Lawrence, MA
  • NPI 1144544040
  Medicare reassignment Care Compare group NPD
• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Medicare reassignment Care Compare group NPD
• Center for Digestive Wellness PC

  • Gastroenterology Physician
  • Leominster, MA
  • NPI 1346679867
  Medicare reassignment NPD
• North Worcester Gastroenterology, P.C.

  • Gastroenterology Physician
  • Leominster, MA
  • NPI 1245567049
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1013220151
  Medicare reassignment NPD
• Lawrence General Hospital

  • Allergy & Immunology Physician
  • Lawrence, MA
  • NPI 1881272102
  NPD
• Lawrence General Hospital

  • Mammography Clinic/Center
  • Methuen, MA
  • NPI 1922514744
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Integrated Gastroenterology Consultants, PC

  • Physical Therapist
  • North Chelmsford, MA
  • NPI 1396075123
  NPD (past)

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

• Dana-Farber Cancer Institute, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1851333686
  Care Compare affiliation
• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• LG Newcorp Inc

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1295724748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 TOTTEN POND RD",
            "address_2": "C/O MZI",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511991",
            "telephone_number": "781-890-9933",
            "fax_number": "781-890-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EAST ST",
            "address_2": "ATTN PATHOLOGY DEPT",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444597",
            "telephone_number": "978-687-0156",
            "fax_number": "978-691-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "LILIANE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "81649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "767113",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3159621",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "34738",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J17222",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey White, RN
• Robin Wilder, MSPT
• Ellen M Wildhagen
• Corey J Winship, DMD
• Ali Wu
• Vartan Yeghiazarians, MD
• Patrick Yegian
• Chih Y Yeh, M.D.
• Yogeshwar Family Dental LLC
• Sherry Yu, PHARMD, RPH

• Anatomic Pathology & Clinical Pathology Physician in Methuen, MA
• Providers in Methuen, MA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.

Verify at the official NPI Registry.