Individual provider Active NPI

Gautam Yadla, MD

  • Nephrology Physician
  • Opelika, AL
National Provider Identifier
1295396539
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.48142 Issued in AL
Practice address
121 N 20TH St Ste 20a
Opelika, AL 36801-5456
Phone
(334) 749-6423
NPI assigned
Jun 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.48142 AL Primary

Addresses

Primary practice location

121 N 20TH St Ste 20a
Opelika, AL 36801-5456

Mailing address

121 N 20TH St Ste 20a
Opelika, AL 36801-5456
Phone (334) 749-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240819000888 AL Practitioner - Nephrology 6901293901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension and NephrologyGroup PAC ID 3971529793, 9 clinicians

Practice addresses (Care Compare)

121 N 20TH St
Suite 20a
Opelika, AL 36801-5456
Phone (334) 749-6523

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.48142ALMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension & Nephrology Nephrology CurrentSince Jul 1, 2024 Accepting new patients

Locations

3368 Highway 280
Ste G1
Alexander City, AL 35010
Phone (256) 329-0638

211 E University Dr
Auburn, AL 36832
Phone (334) 501-8890

52 Water Works Rd
Dadeville, AL 36853
Phone (256) 825-2740

121 N 20th St
Ste 20A
Opelika, AL 36801
Phone (334) 749-1268

2609 Village Professional Dr N
Ste 3
Opelika, AL 36801

4459 Highway 431
Roanoke, AL 36274
Phone (334) 863-8365

314 W Spring St
Sylacauga, AL 35150
Phone (256) 249-9660

802 E Martin Luther King Hwy
Tuskegee, AL 36083
Phone (334) 727-9447

8 Medical Park
Valley, AL 36854
Phone (334) 756-4192

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25334/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gyadla65183@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1295396539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST STE 20A",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015456",
            "telephone_number": "334-749-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST STE 20A",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015456",
            "telephone_number": "334-749-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADLA",
        "first_name": "GAUTAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AL",
            "license": "MD.48142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.