Individual provider Active NPI

Ramalingeswara R. Yalamanchi, M.D.

  • Internal Medicine Physician
  • Southgate, MI
National Provider Identifier
1033263884
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
037908 Issued in MI
Practice address
13300 Northline Rd
Southgate, MI 48195-1065
Phone
(734) 282-7353
Fax
(734) 282-8178
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 037908 MI Primary

Addresses

Primary practice location

13300 Northline Rd
Southgate, MI 48195-1065

Mailing address

13300 Northline Rd
Southgate, MI 48195-1065
Phone (734) 282-7353

Other identifiers 6

IdentifierTypeStateIssuer
382334954OtherMICIGNA HEALTH CARE
63847AOtherMIHAP
382334954OtherMIUNITED HEALTH CARE
382334954OtherMIAETNA
0827487OtherMIBCBS
2102832MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000470 MI Practitioner - Internal Medicine 0446348833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R.R. Yalamanchi MD PCGroup PAC ID 6103089818, 2 clinicians

Practice addresses (Care Compare)

13300 Northline Rd
Southgate, MI 48195-1065

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.51 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
85.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
037908MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
R.R. Yalamanchi, M.D. P.C. Internal Medicine CurrentSince May 15, 2012 Accepting new patients

Locations

13300 Northline Rd
Southgate, MI 48195
Phone (313) 282-7353

Interoperability endpoints

  • Direct secure messaging: ryalamanchi140742@direct.hfhs.org

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1033263884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951065",
            "telephone_number": "734-282-7353",
            "fax_number": "734-282-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951065",
            "telephone_number": "734-282-7353",
            "fax_number": "734-282-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHI",
        "first_name": "RAMALINGESWARA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "037908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "382334954",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "63847A",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "382334954",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "382334954",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0827487",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102832",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.