Organization Active NPI

Germantown Internal Medicine, PC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1124248133
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39524 Issued in TN
Legal business name
GERMANTOWN INTERNAL MEDICINE, PC
Practice address
6027 Walnut Grove Rd - Medical Plaza 2
Suite 114
Memphis, TN 38120
Phone
(901) 537-1892
Fax
(901) 537-1898
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Ramesh Yalamanchilli, MD
Title
President
Phone
(901) 537-1892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 39524 TN Primary

Addresses

Primary practice location

6027 Walnut Grove Rd - Medical Plaza 2
Suite 114
Memphis, TN 38120

Mailing address

PO Box 1000
Dept 829
Memphis, TN 38148-0829
Phone (901) 537-1892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000073 TN Part B Supplier - Clinic/Group Practice 7113014218 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN; Collierville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1124248133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 829",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480829",
            "telephone_number": "901-537-1892",
            "fax_number": "901-537-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD - MEDICAL PLAZA 2",
            "address_2": "SUITE 114",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-537-1892",
            "fax_number": "901-537-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILLI",
        "authorized_official_first_name": "RAMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-537-1892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "39524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.