Surya Mohanrao Yalla, M.D.,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

209937 Issued in NY

Practice address

3424 Kossuth Ave
Emergency Medicine Department,Northcentral Bronx Hospit
Bronx, NY 10467

Phone

(718) 519-3013

Fax

(718) 511-9500

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• New York City Health and Hospitals Corporation

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1053514232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 LAKEVIEW ST",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076611722",
            "telephone_number": "201-880-6537",
            "fax_number": "718-519-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 KOSSUTH AVE",
            "address_2": "EMERGENCY MEDICINE DEPARTMENT,NORTHCENTRAL BRONX HOSPIT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-519-3013",
            "fax_number": "718-511-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALLA",
        "first_name": "SURYA",
        "middle_name": "MOHANRAO",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilana Yakobson-Lopez, LMSW
• Yakov Masheyev Dental, P.C.
• Elina Yakubov, RPH
• Magdalina Yakubova
• Rokhila Yakubova
• Mayumi Yamamoto, R.N.
• Tasuku Yamamoto, MD, PHD
• Taylor Harumi Yamamoto
• Sonya Yamashita, NP
• Karin Yamazaki, PHARMD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.