Waddah Yaacoubagha, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36958 Issued in KY

Practice address

1055 Dove Run Rd
Suite 200
Lexington, KY 40502

Phone

(859) 269-4668

Fax

(859) 266-5577

NPI assigned

Feb 15, 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

Medicare fee-for-service enrollment

Enrolled in KY

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

Internal Medicine

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalists of the Bluegrass PLLCGroup PAC ID 5496976805, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
• University of Kentucky Hospital Hospital, Lexington, KY, CCN 180067
• Select Specialty Hospital - Central Kentucky Long-term care hospital, Danville, KY, CCN 182003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hospitalists of the Bluegrass, PLLC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1477971638
  Medicare reassignment Care Compare group NPD Authorized official
• Hospitalist Associates of Lexington

  • Hospitalist Physician
  • Danville, KY
  • NPI 1982833596
  Medicare reassignment Authorized official
• North Lexington Urgent Treatment Associates PSC

  dba Urgent Treatment Clinics UTC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1396724092
  NPD (past)
• Select Specialty Hospital - Lexington Inc

  • Long Term Care Hospital
  • Danville, KY
  • NPI 1962402719
  NPD (past)
• Emergency Physicians PC

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1912955360
  NPD (past)

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

• Baptist Healthcare System, Inc

  dba Baptist Health Lexington

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  Care Compare affiliation
• Select Specialty Hospital - Lexington Inc

  • Long Term Care Hospital
  • Danville, KY
  • NPI 1962402719

  Long-term care hospital

  Care Compare affiliation
• University of Kentucky

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1518911338
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1477527364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-269-4668",
            "fax_number": "859-266-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "address_2": "SUITE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-269-4668",
            "fax_number": "859-266-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAACOUBAGHA",
        "first_name": "WADDAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "36958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleftherios Sarantis Xenos, MD
• Xhilda Xhemali, PHARMD
• Emily Hang Xiao
• Xu Xu, MD
• Alan Yaacoub, MD
• Monica Yacoub, DMD
• Megan Yadav
• Priyanka Omprakash Yadav, MD
• Carol Yaden, APRN-C
• Rachele Angela Yadon, M.D.

• Internal Medicine Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.