Active NPI
Vijay Yanamadala, MD, MBA
- Neurological Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD60617979
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 55 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| L-252192 | MA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists, PLLC | Neurological Surgery | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | 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
- 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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Neurological Surgery
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1700880291
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1942224696
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.