DR. MARKO YACOUB DMD
NPI 1891358172
Dentist - Pediatric Dentistry in Lomita, CA
About Dr. Marko Yacoub Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARKO YACOUB DMD (NPI 1891358172) is an individual pediatric dentistry provider in Lomita, California, licensed in California (DDS107446) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Danville.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Marko Yacoub Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marko Yacoub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philipsburg, PA 16866
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marko Yacoub's NPI number?
The NPI number for Marko Yacoub is 1891358172. It was assigned to this individual provider in the NPPES registry on April 22, 2019.
Where is Marko Yacoub located?
Marko Yacoub practices at 25209 Narbonne Ave, Lomita, CA 90717. The listed phone number is (310) 539-4166.
What is Marko Yacoub's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Marko Yacoub enrolled in Medicare?
Yes. Marko Yacoub is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marko Yacoub's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marko Yacoub reassigns Medicare benefits to Geisinger Clinic (Philipsburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marko Yacoub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marko Yacoub accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 8 other insurers list Marko Yacoub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marko Yacoub was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Marko Yacoub, DMD · NPI 1891358172
Pediatric Dentistry provider in Lomita, California. Individual provider, active in the CMS NPPES registry since April 22, 2019.
## Identity
- **NPI:** 1891358172 (Entity type: Individual)
- **Enumerated:** April 22, 2019
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** DDS107446 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 25209 NARBONNE AVE, Lomita, CA 90717-2121
- **Phone:** (310) 539-4166
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Geisinger Clinic (NPI 1811948367, Philipsburg, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1891358172) · Data from the CMS NPPES public registry.