NPIMap

Individual provider Active NPI

Sandeep Yalamanchi, MD

  • Family Medicine Physician
  • Midland, MI
National Provider Identifier
1164870788
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301109801 Issued in MI
Practice address
4611 N Campus Ridge Dr
Midland, MI 48640-9533
Phone
(989) 839-3500
Fax
(989) 839-3344
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301109801 MI Primary

Addresses

Primary practice location

4611 N Campus Ridge Dr
Midland, MI 48640-9533

Mailing address

4611 N Campus Ridge Dr
Midland, MI 48640-9533
Phone (989) 839-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910001943 MI Practitioner - Family PracticePractitioner - Hospitalist 2163714783 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R.R. Yalamanchi MD PCGroup PAC ID 6103089818, 2 clinicians

Practice addresses (Care Compare)

13300 Northline Rd
Southgate, MI 48195-1065
Phone (734) 282-7353

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109801MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Gladwin CurrentSince Oct 18, 2020 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Oct 18, 2020 Accepting new patients
R.R. Yalamanchi, M.D. P.C. CurrentSince Dec 1, 2020 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Oct 18, 2020 Accepting new patients
Mymichigan Medical Group Family Medicine Current Accepting new patients
Mymichigan Medical Center Alma Current Accepting new patients
Mymichigan Medical Center Clare CurrentSince Oct 18, 2020 Accepting new patients
Mymichigan Medical Group CurrentSince Oct 18, 2020 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Oct 18, 2020 Accepting new patients
Mymichigan Medical Center Alma Family Medicine CurrentSince Oct 18, 2020 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

5694 Midland Rd
Freeland, MI 48623
Phone (989) 695-2123

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

1105 E Cedar Ave
Gladwin, MI 48624
Phone (989) 246-6490

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

555 W Wackerly St
Ste 1600
Midland, MI 48640
Phone (989) 374-0131

5785 E Broadway Rd
Mt Pleasant, MI 48858
Phone (989) 773-9421

13300 Northline Rd
Southgate, MI 48195
Phone (313) 282-7353

640 Court St
West Branch, MI 48661
Phone (989) 343-3730

Interoperability endpoints

  • Direct secure messaging: syalamanchi208971@direct.hfhs.org

Organizations & group practices 10

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 7

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1164870788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 N CAMPUS RIDGE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409533",
            "telephone_number": "989-839-3500",
            "fax_number": "989-839-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 N CAMPUS RIDGE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409533",
            "telephone_number": "989-839-3500",
            "fax_number": "989-839-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHI",
        "first_name": "SANDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301109801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.