Yasir Yaqub, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

30755 Issued in OK

Practice address

13988 Diplomat Dr Ste 100
Farmers Branch, TX 75234-8831

Phone

(972) 865-4454

Fax

(214) 888-4450

NPI assigned

Aug 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Medical Physician GroupGroup PAC ID 7517194491, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688
• Dallas Medical Center Hospital, Dallas, TX, CCN 450379
• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cardiovascular Associate of DFW Area PLLC

  • Interventional Cardiology Physician
  • Plano, TX
  • NPI 1437878584
  Medicare reassignment NPD Authorized official
• Dallas Medical Physician Group

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1033551312

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Dallas Medical Physician Group

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1861802902
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation
• Dallas Medical Center LLC

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1861690364
  Care Compare affiliation
• Prime Healthcare Services Mesquite LLC

  • General Acute Care Hospital
  • Mesquite, TX
  • NPI 1790174860
  Care Compare affiliation
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1932391844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751232668",
            "telephone_number": "972-865-4454",
            "fax_number": "214-888-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13988 DIPLOMAT DR STE 100",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752348831",
            "telephone_number": "972-865-4454",
            "fax_number": "214-888-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S 5th St",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737015860",
            "country_code": "US",
            "telephone_number": "580-249-3278",
            "fax_number": "580-237-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAQUB",
        "first_name": "YASIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "30755",
            "primary": false
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "OK",
            "license": "30755",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "30755",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "N5496",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "30755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01383275",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200542670A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wound Solutions of Texas LLC
• Shavonn Lynette Wright-Downs
• Jacqueline Wu, PHARMD
• Eugene Jonathan Wyszynski, DO
• Xuecheng Wang, M.D., P.a.
• Sarah Ann Yonamine
• Monshonda Young, DC
• Hsiling Yu, FNP-C
• Esther Yun
• Hong Soon Yun

• Interventional Cardiology Physician in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.