Individual provider Active NPI

Yolanda Yvonne Clay-PO, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1164405833
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K8084 Issued in TX
Practice address
12221 N Mopac Expy
Austin, TX 78758
Phone
(512) 901-4009
Fax
(512) 901-3909
NPI assigned
Nov 27, 2005
Last updated
Mar 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K8084 TX Primary

Addresses

Primary practice location

12221 N Mopac Expy
Austin, TX 78758

Mailing address

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-4009

Other identifiers 2

IdentifierTypeStateIssuer
342734602MedicaidTX
K8084OtherTXSTATE LICENSE

Other names 1

  • Yolanda Y. Clay-PO Professional name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100301000772 TX Practitioner - Internal Medicine 1850436999 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8084TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E. S. Romanelli, MD., PA CurrentSince Jul 1, 2025 Accepting new patients
The Austin Diagnostic Clinic, PLLC CurrentSince Jan 16, 2016 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
Austin Diagnostic Clinic CurrentSince Jan 16, 2016 Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1141 Kinwest Pkwy
Ste 100
Irving, TX 75063
Phone (214) 239-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AICJAD/Endpoint/AICJAD
  • Direct secure messaging: yolanda.clay@eryc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1164405833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-901-4009",
            "fax_number": "512-901-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-901-4009",
            "fax_number": "512-901-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY-PO",
        "first_name": "YOLANDA",
        "middle_name": "YVONNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-27",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342734602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "K8084",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "CLAY-PO",
            "middle_name": "Y.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.