Individual provider Active NPI

Hajira Yasmin, M.D.

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1336312404
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
54192 Issued in WI
Practice address
4002 Barrett Dr Ste 104
Raleigh, NC 27609-6618
Phone
(984) 212-3686
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 54192 WI Primary

Addresses

Primary practice location

4002 Barrett Dr Ste 104
Raleigh, NC 27609-6618

Mailing address

4002 Barrett Dr Ste 104
Raleigh, NC 27609-6618
Phone (984) 212-3686

Other identifiers 1

IdentifierTypeStateIssuer
2020-04200OtherNCPHYSICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110127000313 WI Practitioner - Obstetrics/Gynecology 5496934192 Reassigns benefits to 2 organizations
I20210812000234 NC Practitioner - Obstetrics/Gynecology 5496934192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54192WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Nov 3, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Apr 1, 2023 Accepting new patients
Alray Direct Gynecology and Intimate Health Center, PLLC CurrentSince Mar 12, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 3, 2020 Accepting new patients

Locations

10940 Raven Ridge Rd
Ste 110
Raleigh, NC 27614
Phone (919) 518-0420

4002 Barrett Dr
Ste 104
Raleigh, NC 27609
Phone (984) 212-3686

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

2500 S Central Ave
Marshfield, WI 54449

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2727 Plaza Dr
Wausau, WI 54401
Phone (715) 847-3000

Interoperability endpoints

  • Direct secure messaging: hajira.yasmin@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 5

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1336312404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 BARRETT DR STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096618",
            "telephone_number": "984-212-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 BARRETT DR STE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096618",
            "telephone_number": "984-212-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASMIN",
        "first_name": "HAJIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "54192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "2020-04200",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.