Individual provider Active NPI

Tamer Yacoub, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fall River, MA
National Provider Identifier
1578557807
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
78697 Issued in MA
Practice address
235 Hanover St
Fall River, MA 02720-5246
Phone
(508) 679-7742
Fax
(508) 679-7768
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 78697 MA Primary

Addresses

Primary practice location

235 Hanover St
Fall River, MA 02720-5246

Mailing address

235 Hanover St
Fall River, MA 02720-5246
Phone (508) 679-7742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040211000394 MA Practitioner - Endocrinology 4385538313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

1200 Robeson St
Fall River, MA 02720-5508
Phone (508) 673-7898

1732 Gar Hwy
Swansea, MA 02777-3906
Phone (508) 379-0012

203 Plymouth Ave
Suite 701
Fall River, MA 02721-4300
Phone (508) 676-3292

277 Pleasant St
Fall River, MA 02721-3005

289 Pleasant St
Fall River, MA 02721-3005

67 Slade's Ferry Boulevard
Somerset, MA 02726-1220
Phone (508) 676-3292

831 Main Rd
Westport, MA 02790-4315
Phone (508) 636-0613

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78697MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Oct 16, 2000 Accepting new patients
Prima Care, PC CurrentSince Oct 16, 2000 Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

235 Hanover St
Fall River, MA 02720
Phone (508) 646-9525

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

277 Pleasant St
Ste 202
Fall River, MA 02721
Phone (508) 235-0481

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

Interoperability endpoints

  • Direct secure messaging: tamer.yacoub@prima.eclinicaldirectplus.com

Organizations & group practices 2

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 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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1578557807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205246",
            "telephone_number": "508-679-7742",
            "fax_number": "508-679-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HANOVER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027205246",
            "telephone_number": "508-679-7742",
            "fax_number": "508-679-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "TAMER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "78697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.