Organization Active NPI

MDCH Partners LLC

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1104417435
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MDCH PARTNERS LLC
Practice address
5718 Universal HTS Blvd
Ste 203a
San Antonio, TX 78249
Phone
(210) 834-7649
Fax
(833) 422-0139
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Ravi Kanth Reddy Yalamuri, MD
Title
President
Phone
(210) 834-7649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5718 Universal HTS Blvd
Ste 203a
San Antonio, TX 78249

Mailing address

5718 Universal HTS Blvd
Ste 203a
San Antonio, TX 78249
Phone (210) 834-7649

Other identifiers 1

IdentifierTypeStateIssuer
P4132OtherTXMD LICENSE

National Provider Directory

National Provider Directory

Locations

5718 University Hts
Ste 203A
San Antonio, TX 78249
Phone (210) 834-7649

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1104417435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 UNIVERSAL HTS BLVD",
            "address_2": "STE 203A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-834-7649",
            "fax_number": "833-422-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 UNIVERSAL HTS BLVD",
            "address_2": "STE 203A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-834-7649",
            "fax_number": "833-422-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDCH PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "YALAMURI",
        "authorized_official_first_name": "RAVI KANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-834-7649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "P4132",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.