NPIMap

Individual provider Active NPI

Wesam Gaber Yacoub, M.D.

  • Pulmonary Disease Physician
  • Greensboro, NC
National Provider Identifier
1518992239
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2008-01539 Issued in NC
Practice address
520 N Elam Ave
Lebauer Pulmonary
Greensboro, NC 27403-1127
Phone
(336) 547-1801
Fax
(336) 547-1828
NPI assigned
Jul 11, 2006
Last updated
Apr 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2008-01539 NC Primary

Addresses

Primary practice location

520 N Elam Ave
Lebauer Pulmonary
Greensboro, NC 27403-1127

Mailing address

PO Box 405633
Moses Cone Medical Services Inc.
Atlanta, GA 30384-5633
Phone (336) 832-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20081106000687 NC Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 0941369821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1750 Kernersville Med PK
Kernersville, NC 27284-7146
Phone (336) 564-4727

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Oct 1, 2008 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Oct 1, 2008 Accepting new patients
FHPG, LLC CurrentSince Mar 30, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2021 Accepting new patients
FHPG, LLC CurrentSince Mar 30, 2021 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

3515 W Market St
Ste 210
Greensboro, NC 27403
Phone (336) 660-5460

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: wyacoub912631@direct.novanthealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1518992239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405633",
            "address_2": "MOSES CONE MEDICAL SERVICES INC.",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845633",
            "telephone_number": "336-832-3677",
            "fax_number": "336-832-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N ELAM AVE",
            "address_2": "LEBAUER PULMONARY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031127",
            "telephone_number": "336-547-1801",
            "fax_number": "336-547-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "WESAM",
        "middle_name": "GABER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2008-01539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.