NPIMap

Individual provider Active NPI

Sanchita Yadalla, MD, FACOG

  • Obstetrics & Gynecology Physician
  • Odessa, TX
National Provider Identifier
1205842010
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
Q5304 Issued in TX
Practice address
375 N Sam Houston Ave
Odessa, TX 79761-5051
Phone
(432) 640-2491
Fax
(432) 640-2493
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD436010 PA
Obstetrics & Gynecology Physician 207V00000X 2349431 NY
Obstetrics & Gynecology Physician 207V00000X Q5304 TX Primary

Addresses

Primary practice location

375 N Sam Houston Ave
Odessa, TX 79761-5051

Mailing address

PO Box 2129
Odessa, TX 79760-2129
Phone (432) 640-2491

Other identifiers 12

IdentifierTypeStateIssuer
000528049001OtherNYBC/BS WNY
050228000057OtherNYFIDELIS
P010234943OtherNYMUNROE PLAN
00027018301OtherNYUNIVERA
7698616OtherNYAETNA
000528049001OtherNYBC/BS OF WNY
P020234943OtherNYBC/BS ROCHESTER
159062CKOtherNYPREFERRED CARE
02634797MedicaidNY
0791301OtherNYINDEPENDENT HEALTH
1023261680001MedicaidPA
P010234943OtherNYBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180125000721 TX Practitioner - Obstetrics/Gynecology 1052368545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ector County Hospital DistrictGroup PAC ID 5496657769, 29 clinicians

Practice addresses (Care Compare)

375 N Sam Houston Ave
MCH Family Health Clinic
Odessa, TX 79761-5051
Phone (432) 640-2491

Hospital & facility affiliations

  • Medical Center Hospital Hospital, Odessa, TX, CCN 450132
  • Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661

Merit-based Incentive Payment System (MIPS)

Final score
87.63 of 100Reported as group
Quality
83.96
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2349431NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Mar 1, 2018 Accepting new patients
Ector County Hospital District Past Accepting new patients
Strong Obstetrics-Gynecology Group Obstetrics & Gynecology PastSince Aug 26, 2018 Accepting new patients

Locations

840 W Clements St
Odessa, TX 79763
Phone (432) 333-3888

315 Golder Ave
Ste B
Odessa, TX 79761
Phone (432) 332-2695

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205842010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797602129",
            "telephone_number": "432-640-2491",
            "fax_number": "432-640-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N SAM HOUSTON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615051",
            "telephone_number": "432-640-2491",
            "fax_number": "432-640-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADALLA",
        "first_name": "SANCHITA",
        "credential": "MD, FACOG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD436010",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2349431",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q5304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS WNY",
            "identifier": "000528049001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "050228000057",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUNROE PLAN",
            "identifier": "P010234943",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027018301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7698616",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "000528049001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ROCHESTER",
            "identifier": "P020234943",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "159062CK",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02634797",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0791301",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023261680001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010234943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.