Individual provider Active NPI

Vijay Yanamadala, MD, MBA

  • Neurological Surgery Physician
  • Seattle, WA
National Provider Identifier
1184986978
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD60617979 Issued in WA
Practice address
1100 9TH Ave
Ms:X7-NS
Seattle, WA 98101-2756
Phone
(206) 223-7525
Fax
(206) 341-0443
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X L-252192 MA
Neurological Surgery Physician 207T00000X MD60617979 WA Primary

Addresses

Primary practice location

1100 9TH Ave
Ms:X7-NS
Seattle, WA 98101-2756

Mailing address

1100 9TH Ave
Ms:M4-PFS
Seattle, WA 98101-2756
Phone (206) 515-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20190321001069 NY Practitioner - Neurosurgery 5597918722 Reassigns benefits to 1 organization
I20210210002862 CT Practitioner - Neurosurgery 5597918722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Harvard Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

300 Post Rd W
FL 1
Westport, CT 06880-4703
Phone (203) 332-3272

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

  • St Vincent'S Medical Center Hospital, Bridgeport, CT, CCN 070028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L-252192MAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Neurological Surgery CurrentSince Mar 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Mar 1, 2021 Accepting new patients
Montefiore Medical Center CurrentSince Feb 15, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Feb 15, 2019 Accepting new patients
Virginia Mason Medical Center Past Accepting new patients

Locations

2660 Main St
Ste 117A
Bridgeport, CT 06606
Phone (203) 338-8760

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

300 Post Rd W
Fl 1
Westport, CT 06880
Phone (203) 332-3272

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

3316 Rochambeau Ave
Bronx, NY 10467
Phone (718) 920-5400

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: vijay.yanamadala@xdr.hhchealthdirect.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1184986978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "MS:M4-PFS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-515-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "MS:X7-NS",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-223-7525",
            "fax_number": "206-341-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANAMADALA",
        "first_name": "VIJAY",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "L-252192",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD60617979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.