Sunita Yedavally, DO

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

5101009249 Issued in MI

Practice address

2000 N Huron River Dr
100
Ypsilanti, MI 48197-1699

Phone

(734) 572-1200

Fax

(734) 572-9760

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Michigan State University College of Osteopathic Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sunita.yedavally.1@25394.direct.athenahealth.com
• Direct secure messaging: syedavally@arcmi.intellechartdirect.net

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.

• Associated Retinal Consultants, PC

  • Ophthalmology Physician
  • Royal Oak, MI
  • NPI 1215003793
  Medicare reassignment Care Compare group NPD
• Msu Health Care Inc

  • Allergy & Immunology Physician
  • East Lansing, MI
  • NPI 1700418670
  Medicare reassignment Care Compare group NPD
• Michigan State University

  • Diagnostic Radiology Physician
  • East Lansing, MI
  • NPI 1891747614
  Medicare reassignment NPD
• Capital Area Pathologists, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Lansing, MI
  • NPI 1417049925
  NPD
• Michigan State University

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD
• Michigan State University

  • Surgery Physician
  • East Lansing, MI
  • NPI 1699725895
  NPD
• Michigan State University

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1851470744
  NPD
• Msu Health Care Inc

  • Podiatrist
  • East Lansing, MI
  • NPI 1033741004
  NPD
• Msu Health Care Inc.

  • Physical Therapist
  • East Lansing, MI
  • NPI 1689206419
  NPD
• Associated Retinal Consultants, PC

  • Ophthalmology Physician
  • Petoskey, MI
  • NPI 1659326031
  NPD (past)
• Alliance Physicians Inc

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)
• Retina Vitreous Consultants

  • Ophthalmology Physician
  • Ft Lauderdale, FL
  • NPI 1699773796
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation
• McLaren Greater Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1134104672
  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1194754036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL",
            "address_2": "200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755331",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N HURON RIVER DR",
            "address_2": "100",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971699",
            "telephone_number": "734-572-1200",
            "fax_number": "734-572-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDAVALLY",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101009249",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "5101009249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Moayad Yasin, M.D.
• Hikmat Yassine, PHARMD
• Leen A Yassine
• Jayne Marie Yatczak, OTRL
• Ali Yazdani, M.D.
• Gary S Yee, OD
• Kristen Alexis Yee, M.D.
• Prathusha Yerramilli, MD
• Aminah Yesuf
• Christine B Yoas

• Retina Specialist (Ophthalmology) Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Retina Specialist (Ophthalmology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.

Verify at the official NPI Registry.