Active NPI
Rabi Yacoub, M.D.
- Nephrology Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 274643
- Practice address
- Elm and Carlton St
Buffalo, NY 14263-0001 - Phone
- (716) 845-2300
- NPI assigned
- Aug 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 274643 | NY | Primary |
Addresses
Primary practice location
Elm and Carlton St
Buffalo, NY 14263-0001
Mailing address
1 Old Mill Run
Depew, NY 14043-5008
Phone (716) 609-8855
Other practice location 1
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-5671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274643 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Academic Medicine Services, Inc. | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| University at Buffalo Surgeons Inc | Past | Accepting new patients |
Locations
462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803
Dept 8000
Buffalo, NY 14267
77 Goodell St
Ste 320
Buffalo, NY 14203
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284
Elm and Carlton St
Buffalo, NY 14263
462 Grider St
#11
Buffalo, NY 14215
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
Interoperability endpoints
- rabiyacoub@ubmd.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Pharmacy
- Williamsville, NY
- NPI 1871379586
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Surgery Physician
- Buffalo, NY
- NPI 1508898305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1497987093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OLD MILL RUN",
"city": "DEPEW",
"state": "NY",
"postal_code": "140435008",
"telephone_number": "716-609-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300"
}
],
"practiceLocations": [
{
"address_1": "462 Grider St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142153021",
"country_code": "US",
"telephone_number": "716-898-4226",
"fax_number": "716-898-3928",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YACOUB",
"first_name": "RABI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-14",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "274643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.