Active NPI
Yasodah Toddywalla, MD
- Anatomic Pathology & Clinical Pathology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 38652
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4138
- Fax
- (859) 258-4796
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 57012932 | OH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 38652 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4138
Other practice location 1
234 Goodman St
Mail Location 0796
Cincinnati, OH 45219-2364
Phone (513) 584-1000
Other practice location 2
550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 852-1819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100046740 | Medicaid | KY |
Other names 1
- Yasodah Jayamohan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57012932 | OH | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| St Claire Medical Center, Inc., | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900
81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100
100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Anatomic Pathology & Clinical Pathology
-
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Anatomic Pathology & Clinical Pathology
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Rural Health Clinic/Center
- Morehead, KY
- NPI 1477236487
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1124207352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4138",
"fax_number": "859-258-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4138",
"fax_number": "859-258-4796"
}
],
"practiceLocations": [
{
"address_1": "234 Goodman St",
"address_2": "Mail Location 0796",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192364",
"country_code": "US",
"telephone_number": "513-584-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 S Jackson St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021622",
"country_code": "US",
"telephone_number": "502-852-1819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODDYWALLA",
"first_name": "YASODAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "OH",
"license": "57012932",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "38652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100046740",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YASODAH",
"last_name": "JAYAMOHAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.