Individual provider Active NPI

Wayne F Yakes, M.D.

  • Specialist
  • Englewood, CO
National Provider Identifier
1982711503
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
24847 Issued in CO
Practice address
501 E Hampden Ave
Ste 4600
Englewood, CO 80113-2702
Phone
(303) 788-4280
Fax
(303) 788-4412
NPI assigned
Aug 23, 2006
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 24847 CO Primary

Addresses

Primary practice location

501 E Hampden Ave
Ste 4600
Englewood, CO 80113-2702

Mailing address

PO Box 27499
Denver, CO 80227-0499
Phone (303) 788-4280

Other identifiers 1

IdentifierTypeStateIssuer
01248475MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120626000388 CO Practitioner - Interventional Radiology 8325937600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24847COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT Past Accepting new patients
Diagnostic Imaging Associates Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1982711503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27499",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802270499",
            "telephone_number": "303-788-4280",
            "fax_number": "303-788-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "address_2": "STE 4600",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "303-788-4280",
            "fax_number": "303-788-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAKES",
        "first_name": "WAYNE",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "24847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248475",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.