Individual provider Active NPI

John V Yacono, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1811049307
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9601110 Issued in NC
Practice address
1011 Dresser CT
Raleigh, NC 27609-7323
Phone
(919) 792-3930
Fax
(855) 251-4289
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9601110 NC Primary

Addresses

Primary practice location

1011 Dresser CT
Raleigh, NC 27609-7323

Mailing address

1502 W NC Highway 54 Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840

Other practice location 1

2301 Rexwoods Dr
Ste 118
Raleigh, NC 27607-3366
Phone (919) 803-1417

Other identifiers 2

IdentifierTypeStateIssuer
1250GOtherNCBLUE CROSS BLUE SHIELD NC
1811049307MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101214000535 NC Practitioner - Internal MedicinePractitioner - Gastroenterology 4284821430 Reassigns benefits to 2 organizations
I20260130001196 PA Practitioner - Internal Medicine 4284821430 Reassigns benefits to 1 organization
I20260204004311 TN Practitioner - Internal Medicine 4284821430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21868TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Apr 19, 2022 Accepting new patients
Eventus Wholehealth, PLLC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients

Locations

2511 Old Cornwallis Rd
Ste 200
Durham, NC 27713
Phone (844) 932-5700

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1811049307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54 STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075572",
            "telephone_number": "919-354-0840",
            "fax_number": "919-908-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "919-792-3930",
            "fax_number": "855-251-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 REXWOODS DR",
            "address_2": "STE 118",
            "address_purpose": "LOCATION",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073366",
            "country_code": "US",
            "telephone_number": "919-803-1417",
            "fax_number": "919-803-1418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACONO",
        "first_name": "JOHN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9601110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "1250G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811049307",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.