Vijay Yeldandi, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036-069861 Issued in IL

Practice address

1200 Superior St
5TH Floor
Melrose Park, IL 60160-4055

Phone

(773) 205-4661

Fax

(708) 938-7098

NPI assigned

Sep 22, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

93.28 of 100Reported as group

Quality

73.53

Promoting interoperability

100

Improvement activities

40

Cost

70.73

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819

  IL

  Medicare reassignment NPD
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD
• The Board of Trustees of the University of Illinois

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1609094739

  Infectious Disease

  NPD
• VHS Westlake Hospital Inc.

  • Internal Medicine Physician
  • Melrose Park, IL
  • NPI 1174844757
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1104812486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SUPERIOR ST",
            "address_2": "5TH FLOOR",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604055",
            "telephone_number": "773-205-4661",
            "fax_number": "708-938-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SUPERIOR ST",
            "address_2": "5TH FLOOR",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601604055",
            "telephone_number": "773-205-4661",
            "fax_number": "708-938-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELDANDI",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-069861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-069-861",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodlake Occupational Health LLC
• Lawrence Woznicki, MS,CADC
• WSKC Dialysis Services, Inc.
• Pingchun Wu, MA
• Agnieszka Alina Wysocka
• Mary C Yerkes, RPH
• Angela Young, HS
• Your Doc of Melrose Park
• Youth Outreach Services
• Youth Outreach Services

• All providers in Melrose Park, IL
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.
• 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.