Yacoub Massuda, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01024734A Issued in IN

Practice address

814 Laporte Ave
Valparaiso, IN 46383-5860

Phone

(219) 465-4744

NPI assigned

Oct 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Porter County Anesthesia Associates PC

  • Anesthesiology Physician
  • Valparaiso, IN
  • NPI 1215974936
  NPD (past)

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396821732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WILDROSE CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856044",
            "telephone_number": "219-462-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 LAPORTE AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835860",
            "telephone_number": "219-465-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSUDA",
        "first_name": "YACOUB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01024734A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS IN PROVIDER #",
            "identifier": "000000208898",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karsyn Martin
• Shana J Martin
• Stephanie Anne Martin, PSY.D., HSPP
• Mary M. Kennedy, PSYD LLC
• Ava Massarella Duley
• Elizabeth S Matheus, B.A.
• Amanda Jean Mathews, M.D.
• Tama Mathis
• Bronwyn Christine Matoski
• Christina Matoski, FNP

• Anesthesiology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.