Active NPI
Sarat Yalamanchili, MD, SC
- Internal Medicine Physician
- Bourbonnais, IL
National Provider Identifier
1245245026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D0960977 | Other | IL | CLIA |
| 4632101 | Other | IL | BCBS |
| DP5055 | Other | IL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.