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OMAR YACOB
NPI 1417442369
Internal Medicine - Interventional Cardiology in Conway, AR

Active since June 23, 2018PECOS EnrolledAccepts Medicare Assignment
625 UNITED DR STE 220, CONWAY, AR 72032(501) 358-6361(501) 358-6714 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Aug 20, 2024, May 24, 2021 and 1 more (4 updates tracked since 2018).

About Omar Yacob NPPES

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

OMAR YACOB (NPI 1417442369) is an individual interventional cardiology provider in Conway, Arkansas, licensed in Arkansas (E-19041) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417442369
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameOMAR YACOB
Location Address625 UNITED DR STE 220Conway, AR 72032-7835
Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 358-6361 · Fax (501) 358-6714
Phone(501) 358-6361
Fax(501) 358-6714
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 23, 2018
Last NPPES UpdateJune 6, 20254 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1417442369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in AR · E-19041
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License E-19041 (AR)
625 UNITED DR STE 220, Conway, AR 72032
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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 and accepts Medicare assignment

Omar Yacob is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648672451
PECOS Enrollment IDI20250618003574
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier24 claims24 services$2,272.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

BRYAN DALE FULLER M.D.
Obstetrics & Gynecology
625 UNITED DR STE 220
CONWAY, AR 72032
Faulkner County (501) 499-8300
DR. L. PARKER NORRIS M.D.
Internal Medicine (Interventional Cardiology)
625 UNITED DR STE 220
CONWAY, AR 72032
Faulkner County (501) 327-7555
FAHEEMULLAH BEG M.D
Internal Medicine (Cardiovascular Disease)
625 UNITED DR STE 220
CONWAY, AR 72032
Faulkner County (501) 358-6361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Yacob's NPI number?

The NPI number for Omar Yacob is 1417442369. It was assigned to this individual provider in the NPPES registry on June 23, 2018.

Where is Omar Yacob located?

Omar Yacob practices at 625 United Dr Ste 220, Conway, AR 72032. The listed phone number is (501) 358-6361.

What is Omar Yacob's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Omar Yacob enrolled in Medicare?

Yes. Omar Yacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Omar Yacob was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.