Individual provider Active NPI

Subrahmanya Sarma Yellayi, MD

  • Cardiovascular Disease Physician
  • Allen Park, MI
National Provider Identifier
1184608663
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301053980 Issued in MI
Practice address
6742 Park Ave
Allen Park, MI 48101-2034
Phone
(313) 928-2333
NPI assigned
Nov 30, 2005
Last updated
Jul 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301053980 MI Primary

Addresses

Primary practice location

6742 Park Ave
Allen Park, MI 48101-2034

Mailing address

6742 Park Ave
Allen Park, MI 48101-2034
Phone (313) 928-2333

Other identifiers 3

IdentifierTypeStateIssuer
3310722MedicaidMI
P00447222OtherMIRAILROAD MEDICARE
700H217060OtherMIBCBSMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050329000839 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5597717587 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apc Physicians PLLCGroup PAC ID 7315260015, 4 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800

6742 Park Ave
Allen Park, MI 48101-2034
Phone (313) 928-2333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Pacemaker insertion or repair14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Wyandotte Hospital CurrentSince Aug 1, 2010 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Henry Ford Wyandotte Hospital Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Aug 1, 2010 Accepting new patients
Apc Physicians, P.L.L.C. Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Satinder Kumar Aggarwal MD P C Past Accepting new patients
Millennium Medical Group South PC Cardiovascular Disease Past Accepting new patients

Locations

6742 Park Ave
Allen Park, MI 48101
Phone (313) 928-2333

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCHIBA/Endpoint/DCHIBA
  • Direct secure messaging: syellayi61544@direct.hfhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1184608663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 PARK AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012034",
            "telephone_number": "313-928-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6742 PARK AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012034",
            "telephone_number": "313-928-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLAYI",
        "first_name": "SUBRAHMANYA",
        "middle_name": "SARMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301053980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3310722",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00447222",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "700H217060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.