Individual provider Active NPI

Fady S. Yacoub, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Mansfield, OH
National Provider Identifier
1467833392
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
34.014092 Issued in OH
Practice address
335 Glessner Ave
Mansfield, OH 44903-2269
Phone
(419) 526-8000
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 34.014092 OH Primary

Addresses

Primary practice location

335 Glessner Ave
Mansfield, OH 44903-2269

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other practice location 1

210 N Main St
London, OH 43140-1115
Phone (740) 845-7000

Other practice location 2

1030 Refugee Rd Ste 275
Pickerington, OH 43147-0047
Phone (614) 533-5500

Other identifiers 1

IdentifierTypeStateIssuer
0381430MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191230000412 OH Practitioner - Physical Medicine and Rehabilitation 9830495951 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Group LLCGroup PAC ID 0143453670, 54 clinicians
Osup Community Outreach LLCGroup PAC ID 5799008082, 147 clinicians
Post-Acute Physicians of Ohio, PLLCGroup PAC ID 5698099752, 34 clinicians

Practice addresses (Care Compare)

210 N Main St
London, OH 43140-1115
Phone (740) 845-7000

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (281) 724-3050

6100 N Hamilton Rd
Westerville, OH 43081-2062
Phone (614) 293-4969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.6 of 100Reported as group
Quality
75.56
Improvement activities
40
Cost
59.98

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.014092OHMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Group LLC CurrentSince Jun 24, 2024 Accepting new patients
Post-Acute Physicians of Ohio PLLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2021 Accepting new patients
Osup Community Outreach LLC CurrentSince Nov 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2021 Accepting new patients
Madison Family Health Corporation Past Accepting new patients

Locations

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

Dept L3652
Columbus, OH 43260

1087 Dennison Ave
Fl 4
Columbus, OH 43201
Phone (614) 299-9672

1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000

3773 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-3810

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

3805 Emerald Pkwy
Dublin, OH 43016
Phone (614) 356-0787

210 N Main St
London, OH 43140
Phone (740) 845-7343

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1030 Refugee Rd
Ste 275
Pickerington, OH 43147
Phone (614) 544-5500

247 S Burnett Rd
Ste 120
Springfield, OH 45505
Phone (740) 845-7700

1605 NW Professional Plz
Upper Arlington, OH 43220
Phone (614) 451-4577

6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

Interoperability endpoints

  • Direct secure messaging: fyacoub1225264@direct.osumc.edu

Organizations & group practices 6

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 3

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1467833392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449032269",
            "telephone_number": "419-526-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "OH",
            "postal_code": "431401115",
            "country_code": "US",
            "telephone_number": "740-845-7000",
            "fax_number": "740-845-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Refugee Rd Ste 275",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431470047",
            "country_code": "US",
            "telephone_number": "614-533-5500",
            "fax_number": "614-533-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "FADY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34.014092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0381430",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.