Individual provider Active NPI

Shalini Yalamanchi, MD

  • Ophthalmology Physician
  • Santa Rosa, CA
National Provider Identifier
1013123595
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C131302 Issued in CA
Practice address
3536 Mendocino Ave
Ste. 380
Santa Rosa, CA 95403-3634
Phone
(707) 523-7726
Fax
(707) 578-0522
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C131302 CA Primary

Addresses

Primary practice location

3536 Mendocino Ave
Ste. 380
Santa Rosa, CA 95403-3634

Mailing address

3536 Mendocino Ave
Ste. 380
Santa Rosa, CA 95403-3634
Phone (707) 523-7726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825002136 CA Practitioner - Ophthalmology 5294898649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
George Washington University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3536 Mendocino Ave
Suite 380
Santa Rosa, CA 95403-3612
Phone (707) 575-5353

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C131302CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shalini Yalamanchi, MD PC CurrentSince Jan 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
University of Miami Past Accepting new patients
Upmc Mercy Past Accepting new patients
John a. Vollmer, MD, PC Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

3536 Mendocino Ave
Ste 380
Santa Rosa, CA 95403
Phone (707) 523-7726

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1013123595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE. 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-523-7726",
            "fax_number": "707-578-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE. 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-523-7726",
            "fax_number": "707-578-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHI",
        "first_name": "SHALINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C131302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.