Active NPI
Yaqub M. Baraki, M.D.
- Plastic Surgery Physician
- Lansdowne, VA
National Provider Identifier
1740454750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101244834
- Practice address
- 44084 Riverside Pkwy
Suite 230
Lansdowne, VA 20176-5102 - Phone
- (703) 687-3158
- Fax
- (703) 687-3166
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 1, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | D68504 | MD | |
| Plastic Surgery Physician | 208200000X | 0101244834 | VA | Primary |
| Surgery Physician | 208600000X | D68504 | MD | |
| Surgery Physician | 208600000X | 0101244834 | VA |
Addresses
Primary practice location
44084 Riverside Pkwy
Suite 230
Lansdowne, VA 20176-5102
Mailing address
10845 Philadelphia Rd
White Marsh, MD 21162-1717
Phone (410) 335-0008
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VV6451E050 | Other | VA | MEDICARE |
| 198108YDB5 | Other | MD | MEDICARE |
| X739 0001 | Other | DC | CAREFIRST |
| 510465300 | Other | MD | MEDICAL ASSISTANCE |
| X739 0001 | Other | MD | CAREFIRST |
| 227970YFHZ | Other | DC | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101244834 | VA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- ybaraki159291@direct.hopkinsmedicine.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Lansdowne, VA
- NPI 1952614455
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491004800000",
"number": "1740454750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10845 PHILADELPHIA RD",
"city": "WHITE MARSH",
"state": "MD",
"postal_code": "211621717",
"telephone_number": "410-335-0008",
"fax_number": "410-335-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44084 RIVERSIDE PKWY",
"address_2": "SUITE 230",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201765102",
"telephone_number": "703-687-3158",
"fax_number": "703-687-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAKI",
"first_name": "YAQUB",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-22",
"last_updated": "2017-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MD",
"license": "D68504",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "VA",
"license": "0101244834",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D68504",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101244834",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "VV6451E050",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "198108YDB5",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "X739 0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "510465300",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "X739 0001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "227970YFHZ",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, VA
- Maryam Kathrine Arena, PH.D.
- Ashburn Sterling Internal Medicine and Pediatrics Inc
- Atiyeh Emam DDS PLLC
- Audiological Associates, Inc. (Beltone Hearing Aid Center)
- Rajesh Balakrishnan, DDS
- Marianne K Bardwell, MS CCC SLP
- Barry R. Maharaj, DDS & Anh H. Pham, DDS, PC (Lansdowne Oral Surgery)
- Kristen Lundberg Birkland, LMFT
- Cierra Lasha' Blanding
- Blue Ridge Speech & Hearing Center of Loudoun County, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.