Individual provider Active NPI

Nadiya Volodymyrivna Yerich, MD

  • General Practice Physician
  • Jbsa-Fort Sam Houston, TX
National Provider Identifier
1033864475
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101280309 Issued in VA
Practice address
San Antonio Military Center, McHe-Zso
Orthopaedic Residency, 3551 Roger Brooke Dr.
Jbsa-Fort Sam Houston, TX 78234-4504
Phone
(210) 916-1284
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X
General Practice Physician 208D00000X 0101280309 VA Primary

Addresses

Primary practice location

San Antonio Military Center, McHe-Zso
Orthopaedic Residency, 3551 Roger Brooke Dr.
Jbsa-Fort Sam Houston, TX 78234-4504

Mailing address

Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop, BLDG. 4554, 59 MDW/Gme
Jbsa Lackland, TX 78236-9908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20251208001405 VA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9032602008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101280309VAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1033864475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WILFORD HALL AMBULATORY SURGICAL CENTER",
            "address_2": "1100 WILFORD HALL LOOP, BLDG. 4554, 59 MDW/GME",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782369908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN ANTONIO MILITARY CENTER, MCHE-ZSO",
            "address_2": "ORTHOPAEDIC RESIDENCY, 3551 ROGER BROOKE DR.",
            "city": "JBSA-FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERICH",
        "first_name": "NADIYA",
        "middle_name": "VOLODYMYRIVNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101280309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa-Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.