SAMMY ABID YACOB (D.O.) – Diagnostic Radiology Physician, NPI 1073941936
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for SAMMY ABID YACOB (D.O.)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 495259746
Phone: (616) 363-7339
Fax: (616) 361-5828
Type: Mailing
PO BOX 221249
CHARLOTTE, NC 282221249
Phone: (704) 332-1291
Fax: (704) 926-1832
Type: Mailing
3623 LATROBE DR STE 216
CHARLOTTE, NC 282112117
Phone: (704) 332-1291
Fax: (704) 926-1832
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180926003583 | I | Diagnostic Radiology | NC | TBD |
| I20190709001748 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| 74177 | Ct scan of abdomen and pelvis with contrast | 325 | 322 | $0 |
| 71045 | X-ray of chest, 1 view | 193 | 187 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 151 | 149 | $0 |
| 71260 | Ct scan of chest with contrast | 142 | 141 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 125 | 125 | $0 |
Insurance plans in this area (ZIP 49525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | IL | |
| - | NC | |
| Diagnostic Radiology | NC | |
| - | NC | |
| - | NC | |
| Interventional Radiology, Diagnostic Radiology | NY | |
| - | NC | |
| - | NC | |
| - | OH |
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