Individual provider Active NPI

Yasser Eldaour, MD

  • Internal Medicine Physician
  • Steubenville, OH
National Provider Identifier
1669050274
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.149149 Issued in OH
Practice address
4000 Johnson Rd
Steubenville, OH 43952-2364
Phone
(740) 264-8039
Fax
(740) 264-8049
NPI assigned
Apr 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 35.149149 OH Primary
Internal Medicine Physician 207R00000X V6581 TX

Addresses

Primary practice location

4000 Johnson Rd
Steubenville, OH 43952-2364

Mailing address

22999 Hwy 59 N Ste 105
Kingwood, TX 77339-4438
Phone (281) 348-8000

Other practice location 1

22999 Hwy 59 N Ste 105
Kingwood, TX 77339-4438
Phone (281) 348-8000

Other identifiers 2

IdentifierTypeStateIssuer
0141328MedicaidOH
1669050274MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250627003509 TX Practitioner - Internal Medicine 4688187198 Reassigns benefits to 2 organizations
I20250827003549 OH Practitioner - Internal Medicine 4688187198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doucette Branch Inpatient Services PLLCGroup PAC ID 6608163845, 7 clinicians

Practice addresses (Care Compare)

1100 W Bluff St
Woodville, TX 75979-4738
Phone (409) 283-8141

Hospital & facility affiliations

  • Tyler County Hospital Hospital, Woodville, TX, CCN 450460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.149149OHMDInternal Medicine Physician
V6581TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity West CurrentSince Oct 18, 2025 Accepting new patients
Trinity West CurrentSince Oct 18, 2025 Accepting new patients
Doucette Branch Inpatient Services PLLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

380 Summit Ave
Steubenville, OH 43952
Phone (740) 283-7000

4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011

107 Main St
Wintersville, OH 43953
Phone (740) 264-1656

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1669050274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22999 HWY 59 N STE 105",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394438",
            "telephone_number": "281-348-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522364",
            "telephone_number": "740-264-8039",
            "fax_number": "740-264-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22999 Hwy 59 N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773394438",
            "country_code": "US",
            "telephone_number": "281-348-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDAOUR",
        "first_name": "YASSER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.149149",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "V6581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141328",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669050274",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.