Individual provider Active NPI

Sana Yakoob, DO

  • Internal Medicine Physician
  • Abingdon, VA
National Provider Identifier
1386174944
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0116030750 Issued in VA
Practice address
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone
(276) 258-4455
NPI assigned
Jun 15, 2017
Last updated
Jun 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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 0116030750 VA Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664

Mailing address

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-4455

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200805000762 VA Practitioner - Internal Medicine 5092087320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lincoln Memorial University Medical Department, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samina Yousuf MD PCGroup PAC ID 4880660604, 10 clinicians
Abingdon Physician PartnersGroup PAC ID 5991705667, 39 clinicians

Practice addresses (Care Compare)

17786 US Hwy 19
Rosedale, VA 24280
Phone (276) 880-3133

611 Campus Dr
Suite 200
Abingdon, VA 24210-9704
Phone (276) 258-4920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Managment Corporation Internal Medicine CurrentSince Aug 30, 2020 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Aug 30, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Aug 30, 2020 Accepting new patients
Abingdon Physician Partners Internal Medicine CurrentSince Aug 30, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Samina Yousuf MD PC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 30, 2020 Accepting new patients

Locations

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

611 Campus Dr
Ste 200
Abingdon, VA 24210
Phone (276) 258-4920

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

142 Highland Dr
Lebanon, VA 24266
Phone (276) 880-3133

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

Organizations & group practices 7

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 4

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1386174944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOOB",
        "first_name": "SANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116030750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.