Active NPI
Marreddy Yeruva, MD
- Hospitalist Physician
- Coatesville, PA
National Provider Identifier
1124133780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD449377
- Practice address
- 201 Reeceville Rd
Coatesville, PA 19320-1542 - Phone
- (610) 383-8351
- Fax
- (610) 383-8024
- NPI assigned
- Aug 21, 2006
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 016564 | ME | |
| Hospitalist Physician | 208M00000X | MD449377 | PA | Primary |
Addresses
Primary practice location
201 Reeceville Rd
Coatesville, PA 19320-1542
Mailing address
201 Reeceville Rd
Coatesville, PA 19320-1542
Phone (610) 383-8351
Other practice location 1
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000 ext. 6252
Other practice location 2
1400 Blackhorse Hill Rd
Coatesville, PA 19320-2040
Phone (610) 384-7711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016564 | ME | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norumbega Medical Specialists, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Brewer, ME
- NPI 1780821140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124133780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 REECEVILLE RD",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193201542",
"telephone_number": "610-383-8351",
"fax_number": "610-383-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 REECEVILLE RD",
"city": "COATESVILLE",
"state": "PA",
"postal_code": "193201542",
"telephone_number": "610-383-8351",
"fax_number": "610-383-8024"
}
],
"practiceLocations": [
{
"address_1": "489 State St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044016616",
"country_code": "US",
"telephone_number": "207-973-7000 x6252",
"fax_number": "207-973-5042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Blackhorse Hill Rd",
"address_purpose": "LOCATION",
"city": "Coatesville",
"state": "PA",
"postal_code": "193202040",
"country_code": "US",
"telephone_number": "610-384-7711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YERUVA",
"first_name": "MARREDDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ME",
"license": "016564",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD449377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coatesville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.