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SHIRLEY YACOUB M.D.
NPI 1922341403
Family Medicine in Deltona, FL

Active since April 02, 2013PECOS Enrolled
2090 SAXON BLVD STE B, DELTONA, FL 32725(386) 425-3300(386) 425-3301 Get Directions Write a Review

NPPES record last updated: December 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shirley Yacoub M.d. NPPES

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

SHIRLEY YACOUB M.D. (NPI 1922341403) is an individual family medicine provider in Deltona, Florida, licensed in Florida (ME142341) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1922341403
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHIRLEY YACOUBCredential: M.D.
Location Address2090 SAXON BLVD STE BDeltona, FL 32725-3251
Mailing Address303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · (386) 226-4590 · Fax (386) 226-4577
Phone(386) 425-3300
Fax(386) 425-3301
Sole ProprietorNo
Enumeration DateApril 2, 2013
Last NPPES UpdateDecember 27, 2019
✔ NPI 1922341403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME142341
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2090 SAXON BLVD STE B, Deltona, FL 32725
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Secondary Practice Location 1

Location 13110 MacCorkle Ave SECharleston, WV 25304-1210 · Phone (304) 388-5590

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Yacoub M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Shirley Yacoub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Halifax Healthcare Systems Inc
24 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000

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 32725 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

NALLY CALZADO-RICKETTS MD
Family Medicine
2090 SAXON BLVD STE B
DELTONA, FL 32725
Volusia County (386) 425-3300
SOKUNTHIRITH THACH D.O.
Family Medicine
2090 SAXON BLVD STE B
DELTONA, FL 32725
Volusia County (386) 425-3300

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 Shirley Yacoub's NPI number?

The NPI number for Shirley Yacoub is 1922341403. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Shirley Yacoub located?

Shirley Yacoub practices at 2090 Saxon Blvd Ste B, Deltona, FL 32725. The listed phone number is (386) 425-3300.

What is Shirley Yacoub's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shirley Yacoub enrolled in Medicare?

Yes. Shirley Yacoub is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shirley Yacoub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Yacoub reassigns Medicare benefits to Halifax Healthcare Systems Inc (Daytona Beach, FL). 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 Shirley Yacoub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Yacoub was last updated on December 27, 2019. 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.