Madhavi Yerneni, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD09240 Issued in RI

Practice address

407 East Ave
Suite 120
Pawtucket, RI 02860-5299

Phone

(401) 725-4700

Fax

(401) 725-4740

NPI assigned

Apr 17, 2006

Last updated

May 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1053375832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 120",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-725-4700",
            "fax_number": "401-725-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVE",
            "address_2": "SUITE 120",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605299",
            "telephone_number": "401-725-4700",
            "fax_number": "401-725-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERNENI",
        "first_name": "MADHAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD09240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF RI",
            "identifier": "21727-3",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RHODE ISLAND",
            "identifier": "400240",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9025203",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Michael Yakimec, DPT
• Joe Yammine
• Steven Yanku
• Ye-S Center for Healing & Development
• Cameron Yeaman, PT, DPT
• Yesshawniecestyles (YssBoutique)
• Pryscilla Ruth Sungkyung Yoon, MD
• Robin Lee Young
• David H. Yuells, LICSW
• Carmen Zapata

• Internal Medicine Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.