NANAJAN YAKOUB (MD) – Family Medicine Physician, NPI 1356337380
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
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Provider Addresses for NANAJAN YAKOUB (MD)
350 S NORTHWEST HWY STE 302
PARK RIDGE, IL 600684262
Phone: (847) 457-4000
Fax: (773) 907-0982
Type: Mailing
Swedish Covenant Professional Plaza, 2740-2760, West Foster Avenue, Budlong Woods, Lincoln Square, Chicago, Jefferson Township, Cook County, Illinois, 60625, United States
SUITE 410
CHICAGO, IL 606253500
Phone: (773) 907-0978
Fax: (773) 907-0982
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($89).
Total Amount
$165
General + Research + Ownership
Payments
7
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $89 |
| Novo Nordisk Inc | $21 |
| Exact Sciences Corporation | $19 |
| Lilly USA, LLC | $18 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041222000495 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 236 | 48 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 28 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 32 | 32 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 21 | 21 | $0 |
Insurance plans in this area (ZIP 60068)
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