Individual provider Active NPI

Sai Ganesh Yarram, MD

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1154446250
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301081446 Issued in MI
Practice address
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone
(260) 469-0551
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301081446 MI Primary

Addresses

Primary practice location

3707 New Vision Dr
Fort Wayne, IN 46845-1702

Mailing address

3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 469-0551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080708000270 IN Practitioner - Diagnostic Radiology 1456423490 Reassigns benefits to 4 organizations
I20080805000291 OH Practitioner - Diagnostic Radiology 1456423490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Ohio, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Wayne Radiology Associates LLCGroup PAC ID 5294624060, 35 clinicians
P.E.T. Imaging Services, LLCGroup PAC ID 2668412842, 8 clinicians

Practice addresses (Care Compare)

1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-1000

3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 469-4738

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Orthopaedic Hospital at Parkview North Hospital, Fort Wayne, IN, CCN 150167
  • Community Hospitals and Wellness Centers Hospital, Bryan, OH, CCN 360121
  • Parkview Wabash Hospital, Inc Hospital, Wabash, IN, CCN 151310
  • Parkview Whitley Hospital Hospital, Columbia City, IN, CCN 150101

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
77.29
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301081446MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Aug 15, 2008 Accepting new patients
Breast Diagnostic Center, LLC Diagnostic Radiology CurrentSince Feb 24, 2025 Accepting new patients
Health Care Connections, Inc. Diagnostic Radiology CurrentSince Aug 15, 2008 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Mar 16, 2021 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Mar 16, 2021 Accepting new patients
P.E.T. Imaging Services, LLC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Fort Wayne Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2008 Accepting new patients
Summit Radiology P C Diagnostic Radiology Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

10202 Coldwater Rd
Ste A
Fort Wayne, IN 46825
Phone (260) 469-2525

1818 Carew St
Ste 40
Fort Wayne, IN 46805
Phone (219) 483-1847

1818 Carew St
Ste 30
Fort Wayne, IN 46805
Phone (260) 425-5900

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

3707 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-4000

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

Interoperability endpoints

  • Direct secure messaging: sgyarram@direct.iuhealth.org
  • Direct secure messaging: syarram@yourcarecommunity.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1154446250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451702",
            "telephone_number": "260-469-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451702",
            "telephone_number": "260-469-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARRAM",
        "first_name": "SAI",
        "middle_name": "GANESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301081446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.