Organization Active NPI

Yasir LLC

Doing business as OurPhoneMD

  • Urgent Care Clinic/Center
  • Elizabethtown, KY
National Provider Identifier
1952929689
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
YASIR LLC
Doing business as
OurPhoneMD
Practice address
103 Financial PL Ste 300
Elizabethtown, KY 42701-4470
Phone
(270) 600-0136
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Yasir Saifullah, MDNPI 1023056959
Title
Owner
Phone
(270) 600-0136

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

103 Financial PL Ste 300
Elizabethtown, KY 42701-4470

Mailing address

103 Financial PL Ste 300
Elizabethtown, KY 42701-4470
Phone (270) 600-0136

Other identifiers 1

IdentifierTypeStateIssuer
7100676730OtherKYKY MEDICAID

Other names 1

  • OurPhoneMD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200908003074 KY Part B Supplier - Clinic/Group Practice 2163840117 Receives reassigned benefits from 2 practitioners
Practice locations: Elizabethtown, KY

National Provider Directory

National Provider Directory

Locations

103 Financial Pl
Ste 100
Elizabethtown, KY 42701
Phone (270) 769-0110

103 Financial Pl
Ste 300
Elizabethtown, KY 42701
Phone (270) 600-0136

Practitioners & affiliated clinicians

Practitioners 2

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": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1952929689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 300",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014470",
            "telephone_number": "270-600-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FINANCIAL PL STE 300",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014470",
            "telephone_number": "270-600-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "SAIFULLAH",
        "authorized_official_first_name": "YASIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-600-0136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "7100676730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OurPhoneMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OurPhoneMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.