Active NPI
Pramod K Yadhati, M.D.
- Pain Medicine (Anesthesiology) Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- C10005008
- Practice address
- 4512 Kirkwood Hwy
Suite 200
Wilmington, DE 19808-5123 - Phone
- (302) 998-2585
- Fax
- (302) 998-3394
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | C10005008 | DE | Primary |
Addresses
Primary practice location
4512 Kirkwood Hwy
Suite 200
Wilmington, DE 19808-5123
Mailing address
PO Box 3012
Wilmington, DE 19804-0012
Phone (302) 224-5678
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000807501 | Medicaid | DE | |
| 0503833000 | Other | AMERIHEALTH | |
| 050086513 | Other | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2006 Foulk Rd
Suite B
Wilmington, DE 19810-3644
Phone (302) 529-8783
4512 Kirkwood Hwy
Suite 200
Wilmington, DE 19808-5122
Phone (302) 998-2585
Hospital & facility affiliations
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandywine Pain Management P a | Pain Medicine | Current | Accepting new patients |
| Rehabilitation Associates | Current | Accepting new patients | |
| Rehabilitation Associates, P.a. | Current | Accepting new patients |
Locations
87 Omega Dr
#B
Newark, DE 19713
Phone (302) 733-0980
1000 Twin C Ln
Ste 200
Newark, DE 19713
Phone (302) 683-0700
200 Biddle Ave
Ste 204
Newark, DE 19702
Phone (302) 832-3369
2006 Foulk Rd
Ste B
Wilmington, DE 19810
Phone (302) 529-8783
1941 Limestone Rd
Ste 113
Wilmington, DE 19808
Phone (302) 633-9873
4512 Kirkwood Hwy
Ste 200
Wilmington, DE 19808
Phone (302) 998-2585
Organizations & group practices 3
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.
-
- Pain Medicine (Anesthesiology) Physician
- Wilmington, DE
- NPI 1801943824
-
- Physical Medicine & Rehabilitation Physician
- Wilmington, DE
- NPI 1679509160
-
- Physical Medicine & Rehabilitation Physician
- New Castle, DE
- NPI 1548582752
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1306993316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3012",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198040012",
"telephone_number": "302-224-5678",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 KIRKWOOD HWY",
"address_2": "SUITE 200",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085123",
"telephone_number": "302-998-2585",
"fax_number": "302-998-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADHATI",
"first_name": "PRAMOD",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "DE",
"license": "C10005008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000807501",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0503833000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "050086513",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.