Organization Active NPI

Nathaniel T. Yokubaitis, M.D., P.a.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1356488993
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3201 Issued in TX
Legal business name
NATHANIEL T. YOKUBAITIS, M.D., P.A.
Practice address
3608 Preston Rd
Suite 120
Plano, TX 75093-8654
Phone
(972) 964-2950
Fax
(972) 852-7962
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Nathaniel Thomas Yokubaitis, M.D.NPI 1972727097
Title
President
Phone
(972) 964-2950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L3201 TX Primary

Addresses

Primary practice location

3608 Preston Rd
Suite 120
Plano, TX 75093-8654

Mailing address

3608 Preston Rd
Suite 120
Plano, TX 75093-8654
Phone (972) 964-2950

Other identifiers 1

IdentifierTypeStateIssuer
1972727097OtherTXTYPE I NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000531 TX Part B Supplier - Clinic/Group Practice 6901872829 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

3608 Preston Rd
Ste 120
Plano, TX 75093
Phone (972) 519-1304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1356488993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD",
            "address_2": "SUITE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938654",
            "telephone_number": "972-964-2950",
            "fax_number": "972-852-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD",
            "address_2": "SUITE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938654",
            "telephone_number": "972-964-2950",
            "fax_number": "972-852-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL T. YOKUBAITIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "YOKUBAITIS",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-964-2950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1972727097",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.