Organization Active NPI

Sarat Yalamanchili, MD, SC

  • Internal Medicine Physician
  • Bourbonnais, IL
National Provider Identifier
1245245026
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SARAT YALAMANCHILI, MD, SC
Practice address
1521 N Convent St Ste 101
Bourbonnais, IL 60914-1469
Phone
(815) 937-4500
Fax
(815) 937-4777
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Sarat Yalamanchili, MD
Title
Director
Phone
(815) 937-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1521 N Convent St Ste 101
Bourbonnais, IL 60914-1469

Mailing address

1521 N Convent St Ste 101
Bourbonnais, IL 60914-1469
Phone (815) 937-4500

Other identifiers 3

IdentifierTypeStateIssuer
14D0960977OtherILCLIA
4632101OtherILBCBS
DP5055OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

586 William R Latham SR Dr
Ste 7
Bourbonnais, IL 60914
Phone (815) 932-7926

1521 N Convent St
Ste 100
Bourbonnais, IL 60914
Phone (708) 417-3375

1521 N Convent St
Ste 101
Bourbonnais, IL 60914
Phone (815) 937-4500

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1245245026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N CONVENT ST STE 101",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141469",
            "telephone_number": "815-937-4500",
            "fax_number": "815-937-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N CONVENT ST STE 101",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141469",
            "telephone_number": "815-937-4500",
            "fax_number": "815-937-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAT YALAMANCHILI, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "SARAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-937-4500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D0960977",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4632101",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP5055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.