Organization Active NPI

Yuma Outpatient Medical Services, LLC

  • Infusion Therapy Clinic/Center
  • Yuma, AZ
National Provider Identifier
1073080305
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
YUMA OUTPATIENT MEDICAL SERVICES, LLC
Practice address
2281 W 24TH St Ste 14
Yuma, AZ 85364-6197
Phone
(928) 446-9401
NPI assigned
Oct 24, 2018
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mallappa Neelappa, MDNPI 1861455818
Title
Owner
Phone
(928) 344-0810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

2281 W 24TH St Ste 14
Yuma, AZ 85364-6197

Mailing address

PO Box 6229
Yuma, AZ 85366-2510
Phone (928) 344-0810

Other practice location 1

11279 S. Glenwood Ave
Bldg. B
Yuma, AZ 85367-5885
Phone (928) 344-0810

Other identifiers 3

IdentifierTypeStateIssuer
521845MedicaidAZ
Z222015OtherAZPTAN
F89598OtherAZUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181220003316 AZ Part B Supplier - Clinic/Group Practice 6608111596 Receives reassigned benefits from 1 practitioner
Practice locations: Yuma, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2164706Yuma Outpatient Medical Services, LLC2281 W 24TH St Ste 14, Yuma, AZ 85364Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory

Locations

11279 S Glenwood Ave
#B
Yuma, AZ 85367
Phone (928) 344-0810

2281 W 24th St
Ste 14
Yuma, AZ 85364
Phone (928) 314-0030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1073080305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6229",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662510",
            "telephone_number": "928-344-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST STE 14",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646197",
            "telephone_number": "928-446-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11279 S. Glenwood Ave",
            "address_2": "Bldg. B",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853675885",
            "country_code": "US",
            "telephone_number": "928-344-0810",
            "fax_number": "928-726-4186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YUMA OUTPATIENT MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "NEELAPPA",
        "authorized_official_first_name": "MALLAPPA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-344-0810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521845",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z222015",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F89598",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.