Individual provider Active NPI

Prasanna Lakshmi Yelamanchili, M.D

  • Cardiovascular Disease Physician
  • Newburgh, IN
National Provider Identifier
1083838130
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01067820A Issued in IN
Practice address
4007 Gateway Blvd
Ste 100
Newburgh, IN 47630-8947
Phone
(812) 842-0907
Fax
(812) 490-7054
NPI assigned
Apr 12, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01067820A IN Primary

Addresses

Primary practice location

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630-8947

Mailing address

4015 Gateway Blvd Ste 2120
Newburgh, IN 47630-8925
Phone (812) 842-0907

Other identifiers 6

IdentifierTypeStateIssuer
351776713OtherTRICARE PRIME
000000653732OtherINANTHEM
P00849721OtherINRR MEDICARE
P00849717OtherKYRR MEDICARE
200988120MedicaidIN
7100124460MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100716000561 IN Practitioner - Cardiovascular Disease (Cardiology) 3476685058 Reassigns benefits to 3 organizations
I20100719000469 KY Practitioner - Cardiovascular Disease (Cardiology) 3476685058 Reassigns benefits to 1 organization
I20110110000910 IL Practitioner - Cardiovascular Disease (Cardiology) 3476685058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Specialty Physicians, IncGroup PAC ID 0244595205, shared by 3 NPIs, 228 clinicians
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Henderson, KY 42420-2783
Phone (812) 490-4550

1413 N Elm St
Suite 106
Henderson, KY 42420-2776
Phone (270) 831-7937

2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (812) 464-9133

4007 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 450-7899

4551 Springhill Dr
Owensboro, KY 42303-4671
Phone (812) 464-9133

4604 US Hwy 60 W
Morganfield, KY 42437-6515
Phone (270) 389-5130

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-7299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067820AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease Current Accepting new patients
Deaconess Hospital, Inc Cardiovascular Disease CurrentSince Dec 23, 2010 Accepting new patients
St. Mary's Health, Inc CurrentSince Nov 13, 2011 Accepting new patients
Deaconess Hospital Inc CurrentSince Dec 23, 2010 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Jun 1, 2018 Accepting new patients
Deaconess Specialty Physicians, Inc Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
St. Mary's Health, Inc CurrentSince Nov 13, 2011 Accepting new patients
The Heart Hospital at Deaconess Gateway, LLC Past Accepting new patients

Locations

213 NW 10th St
Fairfield, IL 62837
Phone (618) 842-4617

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3700 Washington Ave
Ste 2100A
Evansville, IN 47714
Phone (812) 485-1894

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

520 Mary St
Ste 230
Evansville, IN 47710
Phone (812) 450-8600

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4007 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-3921

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4015 Gateway Blvd
Ste 2120
Newburgh, IN 47630
Phone (812) 492-5457

1138 N Elm St
Henderson, KY 42420
Phone (270) 827-8811

1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Interoperability endpoints

  • Direct secure messaging: pyelamanchili45141@direct.deaconess.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1083838130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 GATEWAY BLVD STE 2120",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308925",
            "telephone_number": "812-842-0907",
            "fax_number": "812-464-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 GATEWAY BLVD",
            "address_2": "STE 100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-842-0907",
            "fax_number": "812-490-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELAMANCHILI",
        "first_name": "PRASANNA",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01067820A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME",
            "identifier": "351776713",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000653732",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00849721",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00849717",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200988120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100124460",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.