Mahmoud Magdi Moustafa Yacout

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4351052742 Issued in MI

Practice address

3601 W 13 Mile Rd Ofc
Royal Oak, MI 48073-6712

Phone

(248) 551-3000

Fax

(248) 551-9425

NPI assigned

May 1, 2024

Last updated

May 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1770330441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD OFC",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-551-3000",
            "fax_number": "248-551-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD OFC",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-551-3000",
            "fax_number": "248-551-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUT",
        "first_name": "MAHMOUD",
        "middle_name": "MAGDI MOUSTAFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4351052742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xinyu Wu, M.D.
• Jasper H Wurster, LCPC, LPC
• Katherine Elizabeth Wydra, MS, CCC-SLP
• Michael Wayne Wyrick, PTA
• Collette M Wyte, M.D.
• Sailaja Yadavalli, MD
• Bella Yagolkovskaya, CPNP
• John A Yakamovich II, MA, LLP
• Marjorie Yaker, LMSW
• Arieg Yalda

• Internal Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.