NPIMap

Individual provider Active NPI

Robert A Yagoobian, DPM

  • Podiatrist
  • Taylor, MI
National Provider Identifier
1992761514
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
RY000639 Issued in MI
Practice address
9224 Pelham Rd
Taylor, MI 48180-3832
Phone
(313) 292-8400
Fax
(313) 292-8430
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X RY000639 MI Primary

Addresses

Primary practice location

9224 Pelham Rd
Taylor, MI 48180-3832

Mailing address

9224 Pelham Rd
Taylor, MI 48180-3832
Phone (313) 292-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RY000639MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Polyclinic Associates PC Past Accepting new patients
Northville Family Foot Specialists PLLC Podiatrist PastSince Jan 1, 2003 Accepting new patients
Jack Janigian DPM PC Podiatrist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992761514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 PELHAM RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803832",
            "telephone_number": "313-292-8400",
            "fax_number": "313-292-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 PELHAM RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803832",
            "telephone_number": "313-292-8400",
            "fax_number": "313-292-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGOOBIAN",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "RY000639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.