DANIEL YACKZAN MD
NPI 1114555414
Student in an Organized Health Care Education/Training Program in Lexington, KY

Q: What is Daniel Yackzan's NPI number?

The NPI number for Daniel Yackzan is 1114555414. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Daniel Yackzan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Yackzan was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2020PECOS Enrolled

800 ROSE ST # C-246, LEXINGTON, KY 40536(859) 323-6162(859) 257-8934 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Daniel Yackzan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL YACKZAN MD (NPI 1114555414) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114555414

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDANIEL YACKZANCredential: MD

Location Address800 ROSE ST # C-246Lexington, KY 40536-0293

Mailing Address800 Rose St # C-246Lexington, KY 40536-0293 · (859) 323-6162 · Fax (859) 257-8934

Phone(859) 323-6162

Fax(859) 257-8934

Sole ProprietorNo

Enumeration DateMarch 31, 2020

NPPES CertifiedMarch 31, 2020

✔ NPI 1114555414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

800 ROSE ST # C-246, Lexington, KY 40536

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Yackzan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SATYA SAI DALAVAYI

Surgery