Active NPI
Subramanyam Yadam, M.D.
- Pulmonary Disease Physician
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- SY038909
- Practice address
- 4201 Campus Ridge Drive
Midland, MI 48640 - Phone
- (989) 488-5450
- Fax
- (989) 488-5455
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | SY038909 | MI | |
| Pulmonary Disease Physician | 207RP1001X | SY038909 | MI | Primary |
Addresses
Primary practice location
4201 Campus Ridge Drive
Midland, MI 48640
Mailing address
4201 Campus Ridgedrive
Midland, MI 48640
Phone (989) 488-5450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2905610541 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2120984 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018
4100 Campus Ridge Dr
Midland, MI 48640-6139
Phone (989) 839-3060
4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250
515 Quarter St
Gladwin, MI 48624-1959
Phone (989) 426-9286
703 N McEwan St
Clare, MI 48617-1440
Phone (989) 802-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SY038909 | MI | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients |
Locations
515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4201 Campus Ridge Dr
Ste 2000
Midland, MI 48640
Phone (989) 839-1795
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4201 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
4100 Campus Ridge Dr
Midland, MI 48640
Phone (989) 488-5450
2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237
Interoperability endpoints
- syadam7097@mymichiganhealth.midirect.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1023126448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGEDRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-488-5450",
"fax_number": "989-488-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 CAMPUS RIDGE DRIVE",
"city": "MIDLAND",
"state": "MI",
"postal_code": "48640",
"telephone_number": "989-488-5450",
"fax_number": "989-488-5455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADAM",
"first_name": "SUBRAMANYAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "SY038909",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "SY038909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2905610541",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2120984",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.