NPIMap

Individual provider Active NPI

Georges S Yacoub, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Troy, OH
National Provider Identifier
1487659041
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
35080325 Issued in OH
Practice address
3006 N. Co. Rd 25a Ste 102
Troy, OH 45373-1373
Phone
(937) 335-2075
Fax
(937) 335-9840
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35080325 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35080325 OH Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35080325 OH
Hospitalist Physician 208M00000X 35080325 OH

Addresses

Primary practice location

3006 N. Co. Rd 25a Ste 102
Troy, OH 45373-1373

Mailing address

PO Box 1013
3006 N. Co Rd 25a Ste 102
Troy, OH 45373-8013
Phone (937) 335-2075

Other identifiers 1

IdentifierTypeStateIssuer
2352298MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000767 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3779512108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Dermatology, Laser and Vein ClinicGroup PAC ID 5799888251, 4 clinicians

Practice addresses (Care Compare)

3006 N County Rd
25A Suite 102
Troy, OH 45373-1373
Phone (937) 875-2745

3006 N County Rd
25A Suite 200
Troy, OH 45373-1372
Phone (937) 339-8426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.99 of 100Reported as individual
Quality
78.54
Improvement activities
40
Cost
82.27

Merit-based Incentive Payment System (MIPS)

Final score
75.26 of 100Reported as group
Quality
63.4
Improvement activities
40
Cost
66.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080325OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates LLC Critical Care Medicine CurrentSince Mar 1, 2011 Accepting new patients
Affiliated Internists LLC CurrentSince Feb 1, 2010 Accepting new patients
Midwest Dermatology, Laser & Vein Clinic CurrentSince Mar 19, 2007 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Midwest Medical Services, Inc. Past Accepting new patients
Kindred Hospitals East, LLC Past Accepting new patients

Locations

30 Remick Blvd
Springboro, OH 45066
Phone (937) 619-0222

3006 N Dixie Hwy
Ste 102
Troy, OH 45373
Phone (937) 335-2075

3006 N County Road 25A
Ste 200
Troy, OH 45373
Phone (937) 335-2075

1330 N County Road 25A
Ste A
Troy, OH 45373
Phone (937) 335-2075

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 6

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1487659041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "address_2": "3006 N. CO RD 25A STE 102",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453738013",
            "telephone_number": "937-335-2075",
            "fax_number": "937-339-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N. CO. RD 25A STE 102",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731373",
            "telephone_number": "937-335-2075",
            "fax_number": "937-335-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "GEORGES",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35080325",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35080325",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OH",
            "license": "35080325",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35080325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2352298",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.