Houd Yacoub

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F05220009 Issued in MI

Practice address

12813 W Warren Ave
Dearborn, MI 48126-1532

Phone

(313) 581-8090

NPI assigned

Aug 16, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Preventive CareGroup PAC ID 4385125046, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Premiercare Home Health Solutions, Inc Home health agency, Livonia, MI, CCN 239190

Medicare enrollment (NPD)

Enrolled

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.

• Michigan Preventive Care

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1972467694
  Medicare reassignment Care Compare group
• Haddad Pediatrics PLLC

  • Pediatrics Physician
  • Dearborn, MI
  • NPI 1306662622
  NPD
• Shaker Haddad MD PC

  • Clinic/Center
  • Dearborn, MI
  • NPI 1609026335
  NPD

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

• Premiercare Home Health Solutions, Inc.

  • Home Health Agency
  • Livonia, MI
  • NPI 1104144831
  Care Compare affiliation

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1942928940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 CALHOUN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261149",
            "telephone_number": "313-467-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 W WARREN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261532",
            "telephone_number": "313-581-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACOUB",
        "first_name": "HOUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "F05220009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyoming Medical Centers PLLC
• X Health Partners
• Yi Xie
• Vanida Xiong
• Xpress 1 Urgent Care PC
• Elizabeth Yager
• Zeina Angela Yahfoufi, LLP
• Manal Yahya, RPH
• Marwa Yahya
• Nadine Yahya

• Family Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.