Individual provider Active NPI

Maty Yakoby, MD

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1780065250
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
62958 Issued in AZ
Practice address
1107 E Bell Rd
Phoenix, AZ 85022-2691
Phone
(602) 567-4800
Fax
(602) 567-9939
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301113701 MI
Internal Medicine Physician 207R00000X 62958 AZ Primary

Addresses

Primary practice location

1107 E Bell Rd
Phoenix, AZ 85022-2691

Mailing address

1107 E Bell Rd
Phoenix, AZ 85022-2691
Phone (602) 567-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210730001461 AZ Practitioner - Internal Medicine 3375833767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14550 N Frank Lloyd Wright Blvd
Suite 100
Scottsdale, AZ 85260-8825
Phone (623) 445-1110

Hospital & facility affiliations

  • St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Sep 24, 2021 Accepting new patients
Yakoby Internal Medicine Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Sep 24, 2021 Accepting new patients

Locations

1107 E Bell Rd
Phoenix, AZ 85022
Phone (602) 567-4800

1107 E Bell Rd
Ste 3
Phoenix, AZ 85022

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

14550 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260
Phone (623) 445-1110

14550 N Frank Lloyd Wright Blvd
Ste 100
Scottsdale, AZ 85260
Phone (623) 445-1110

Interoperability endpoints

  • Direct secure messaging: maty.yakoby@563683160227844.direct.elationemr.com

Organizations & group practices 3

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 5

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1780065250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222691",
            "telephone_number": "602-567-4800",
            "fax_number": "602-567-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222691",
            "telephone_number": "602-567-4800",
            "fax_number": "602-567-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKOBY",
        "first_name": "MATY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301113701",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "62958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.