Individual provider Active NPI

Yanko Athanassov Yankov, M.D.

  • Neurology Physician
  • Bulverde, TX
National Provider Identifier
1801856422
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L2764 Issued in TX
Practice address
2395 Bulverde Rd Ste 101B
Bulverde, TX 78163-4572
Phone
(830) 980-1761
Fax
(830) 980-1746
NPI assigned
Mar 27, 2006
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L2764 TX Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X L2764 TX

Addresses

Primary practice location

2395 Bulverde Rd Ste 101B
Bulverde, TX 78163-4572

Mailing address

PO Box 592827
San Antonio, TX 78259-0191
Phone (830) 980-1761

Other practice location 1

2128 Babcock Rd Ste 101
San Antonio, TX 78229-4458
Phone (210) 340-1141

Other identifiers 2

IdentifierTypeStateIssuer
8G4800OtherTXBC/BS OF TX
158401301MedicaidTX

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

LicenseStateTypeSpecialty
L2764TXMDNeurology Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1801856422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 592827",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590191",
            "telephone_number": "830-980-1761",
            "fax_number": "830-980-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 BULVERDE RD STE 101B",
            "city": "BULVERDE",
            "state": "TX",
            "postal_code": "781634572",
            "telephone_number": "830-980-1761",
            "fax_number": "830-980-1746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2128 Babcock Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294458",
            "country_code": "US",
            "telephone_number": "210-340-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANKOV",
        "first_name": "YANKO",
        "middle_name": "ATHANASSOV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2764",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "L2764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TX",
            "identifier": "8G4800",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158401301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bulverde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.