Organization Active NPI

Yakoby Internal Medicine

  • Internal Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1922796085
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YAKOBY INTERNAL MEDICINE
Practice address
14550 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260-8824
Phone
(623) 445-1110
Fax
(480) 405-0089
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Dr. Maty Yakoby, M.D.NPI 1780065250
Title
Owner/Manager
Phone
(516) 815-4918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14550 N Frank Lloyd Wright Blvd
Scottsdale, AZ 85260-8824

Mailing address

4825 E St John Rd
Scottsdale, AZ 85254-0017
Phone (623) 445-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231105000038 AZ Part B Supplier - Clinic/Group Practice 4082061577 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1922796085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 E ST JOHN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852540017",
            "telephone_number": "623-445-1110",
            "fax_number": "800-727-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 N FRANK LLOYD WRIGHT BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608824",
            "telephone_number": "623-445-1110",
            "fax_number": "480-405-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKOBY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "YAKOBY",
        "authorized_official_first_name": "MATY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "516-815-4918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.