Individual provider Active NPI

Tamara Lynn Yacobucci, D.O.

  • Pediatrics Physician
  • Hillsboro, OH
National Provider Identifier
1760836621
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.013741 Issued in OH
Practice address
1402 N High St
Hillsboro, OH 45133-8514
Phone
(937) 393-4899
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.013741 OH Primary

Addresses

Primary practice location

1402 N High St
Hillsboro, OH 45133-8514

Mailing address

1402 N High St
Hillsboro, OH 45133-8514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191017000401 OH Practitioner - Pediatric Medicine 6406187731 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Health Providers Corp CurrentSince Nov 1, 2019 Accepting new patients
Highland Health Providers Corp CurrentSince Nov 1, 2019 Accepting new patients

Locations

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

1487 N High St
Ste 102
Hillsboro, OH 45133
Phone (937) 393-3406

1402 N High St
Hillsboro, OH 45133
Phone (937) 393-4899

Interoperability endpoints

  • Direct secure messaging: tamarayacobucci@hhproviders.allscriptsdirect.net
  • Direct secure messaging: tyacobucci307716@direct.trihealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1760836621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 N HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338514",
            "telephone_number": "937-393-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOBUCCI",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.013741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.