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DR. MINA M YACOUB MD NPI 1073519823


NPI Information

NPI: 1073519823
Provider Name: DR. MINA M YACOUB, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1328 SOUTHERN AVE SE
STE 312
WASHINGTON, DC
ZIP 20020
Phone: (202) 563-2844
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DR. Mina M Yacoub, MD is an internal medicine in Washington, DC with 30 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Mina M Yacoub, MD NPI is 1073519823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1328 SOUTHERN AVE SE
STE 312
WASHINGTON, DC
ZIP 20020
Phone: (202) 563-2844
Fax: (202) 563-2337

The NPI 1073519823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 6/27/2005 and was last updated on 11/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineD0063530MARYLANDNo
2207RP1001XInternal MedicinePulmonary DiseaseD0063530MARYLANDNo
3207R00000XInternal Medicine0101232738VIRGINIANo
4207RC0200XInternal MedicineCritical Care MedicineMD33941DISTRICT OF COLUMBIANo
5207RP1001XInternal MedicinePulmonary DiseaseMD33941DISTRICT OF COLUMBIANo
6207R00000XInternal MedicineMD33941DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16875-0048OTHERCAREFIRST BLUE CROSS
2P00381288OTHERUHC RAILROAD
3014300C34MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIACAPITOL CRITICAL CARE
4I07376MEDICARE UPIN
5018101C43MEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.