Individual provider Active NPI

Donald Dean Yarbro Jr., MD

  • Diagnostic Radiology Physician
  • Henderson, NV
National Provider Identifier
1629042411
Registry record updated Oct 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4777 Issued in NV
Practice address
2559 Wigwam Pkwy
Henderson, NV 89074-6230
Phone
(702) 982-3659
Fax
(702) 549-0377
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4777 NV Primary

Addresses

Primary practice location

2559 Wigwam Pkwy
Henderson, NV 89074-6230

Mailing address

2559 Wigwam Pkwy
Henderson, NV 89074-6230
Phone (702) 982-3659

Other identifiers 1

IdentifierTypeStateIssuer
002019508MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040303000952 NV Practitioner - Diagnostic Radiology 5890682884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2559 Wigwam Pkwy
Henderson, NV 89074-6230
Phone (702) 982-3659

5795 Arville St
Suite 200
Las Vegas, NV 89118-3011
Phone (702) 240-6482

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yarbro LTD Diagnostic Radiology CurrentSince Jan 1, 1985 Accepting new patients
Nevada Heart and Vascular Center Resh LLP CurrentSince Jan 1, 2016 Accepting new patients
Nevada Heart and Vascular Center Resh LLP Diagnostic Radiology CurrentSince Jan 1, 2016 Accepting new patients
Mobile X-Rays on Demand Limited Liability Company CurrentSince Feb 4, 2022 Accepting new patients

Locations

2559 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 982-3659

5795 Arville St
Ste 200
Las Vegas, NV 89118

500 E Windmill Ln
Ste 140
Las Vegas, NV 89123

2832 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 735-4848

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1629042411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746230",
            "telephone_number": "702-982-3659",
            "fax_number": "702-549-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 WIGWAM PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746230",
            "telephone_number": "702-982-3659",
            "fax_number": "702-549-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBRO",
        "first_name": "DONALD",
        "middle_name": "DEAN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "4777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019508",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.