NPIMap

Individual provider Active NPI

Yvonne K Haug, M.D.

  • Family Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1366427379
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6662 Issued in TX
Practice address
1305 N Milam St
Fredericksburg, TX 78624-2752
Phone
(830) 997-7626
Fax
(830) 997-2641
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G6662 TX Primary

Addresses

Primary practice location

1305 N Milam St
Fredericksburg, TX 78624-2752

Mailing address

1305 N Milam St
Fredericksburg, TX 78624-2752
Phone (830) 997-7626

Other identifiers 1

IdentifierTypeStateIssuer
126893003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100824000275 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6204950520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Texas Health Care Assn., P.a.Group PAC ID 2365566684, 2 clinicians

Practice addresses (Care Compare)

1305 N Milam St
Fredericksburg, TX 78624-2752
Phone (830) 997-7626

Hospital & facility affiliations

  • Methodist Healthcare Hill Country Hospice & Family Care Hospice, Fredericksburg, TX, CCN 451600
  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007
  • Knopp Nursing & Rehab Center Inc Nursing home, Fredericksburg, TX, CCN 675740
  • Avir at Fredericksburg Nursing home, Fredericksburg, TX, CCN 675169

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Texas Health Care Assn., P.a. Family Medicine CurrentSince Aug 26, 1984 Accepting new patients
Theoria Medical CurrentSince Sep 27, 2021 Accepting new patients

Locations

1305 N Milam St
Fredericksburg, TX 78624
Phone (830) 990-0991

3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310

Interoperability endpoints

  • Direct secure messaging: yvonne.haug@176964271079426.direct.elationemr.com

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
Methodist Healthcare Hill Country Hospice & Family CareFredericksburg, TX, CCN 451600 Hospice Contracted Managing Employee Jun 1, 1994

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1366427379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786242752",
            "telephone_number": "830-997-7626",
            "fax_number": "830-997-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786242752",
            "telephone_number": "830-997-7626",
            "fax_number": "830-997-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUG",
        "first_name": "YVONNE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126893003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.