John Yacoub, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01062336A Issued in IN

Practice address

2723 S 7TH St
Suite a
Terre Haute, IN 47802-3558

Phone

(812) 232-8164

Fax

(812) 234-6391

NPI assigned

Jul 9, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Medical Group, LLCGroup PAC ID 9335135995, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
• Terre Haute Regional Hospital Hospital, Terre Haute, IN, CCN 150046
• Union Hospital Clinton Hospital, Clinton, IN, CCN 151326
• Greene County General Hospital Hospital, Linton, IN, CCN 151317
• Putnam County Hospital Hospital, Greencastle, IN, CCN 151333

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyacoub@unionhealth.cernerdirect.com

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.

• Providence Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Terre Haute, IN
  • NPI 1891729141
  Medicare reassignment Care Compare group NPD
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  NPD
• Union Hospital, Inc.

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1013965573

  Cardiovascular Disease

  NPD
• Union Hospital, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Clinton, IN
  • NPI 1487652319
  NPD

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

• Greene County General Hospital

  • Critical Access Hospital
  • Linton, IN
  • NPI 1184695389
  Care Compare affiliation
• Putnam County Hospital

  • Critical Access Hospital
  • Greencastle, IN
  • NPI 1912947490
  Care Compare affiliation
• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation
• Union Hospital, Inc.

  • Critical Access Hospital
  • Clinton, IN
  • NPI 1306844519
  Care Compare affiliation
• West Central Community Hospital

  • General Acute Care Hospital
  • Clinton, IN
  • NPI 1093713802
  Care Compare affiliation

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1417980483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "SUITE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-238-1730",
            "fax_number": "812-242-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "SUITE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-232-8164",
            "fax_number": "812-234-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01062336A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00404189",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200850550",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000501251",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Wrin, OTR
• Stephen A Wursta
• Kalan Wyatt
• Shawn Wycoff
• Mengqin Xu
• Christopher Scott Yamamoto, D.C.
• Ru-CHI Yang, PHD, HSPP
• Thelma R Yanga-Barksdale, P.T.
• Katelyn Yates
• Thomas John Yeagley, M.D.

• Cardiovascular Disease Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.