Individual provider Active NPI

Nathaniel Thomas Yokubaitis, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1972727097
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3201 Issued in TX
Practice address
3608 Preston Rd
Suite 120
Plano, TX 75093-8654
Phone
(972) 964-2950
Fax
(972) 852-7962
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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 L3201 TX Primary

Addresses

Primary practice location

3608 Preston Rd
Suite 120
Plano, TX 75093-8654

Mailing address

3608 Preston Rd
Suite 120
Plano, TX 75093-8654
Phone (972) 964-2950

Other identifiers 1

IdentifierTypeStateIssuer
1356488993OtherTXTYPE II NPI

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091215000155 TX Practitioner - Internal Medicine 3971579897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3608 Preston Rd
Suite 120
Plano, TX 75093-8654
Phone (972) 964-2950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3201TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathaniel T. Yokubaitis, M.D., P.a. Internal Medicine CurrentSince Nov 19, 2001 Accepting new patients

Locations

3608 Preston Rd
Ste 120
Plano, TX 75093
Phone (972) 519-1304

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1972727097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD",
            "address_2": "SUITE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938654",
            "telephone_number": "972-964-2950",
            "fax_number": "972-852-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 PRESTON RD",
            "address_2": "SUITE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938654",
            "telephone_number": "972-964-2950",
            "fax_number": "972-852-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKUBAITIS",
        "first_name": "NATHANIEL",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE II  NPI",
            "identifier": "1356488993",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.