Individual provider Active NPI

Pramod K Yadhati, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Wilmington, DE
National Provider Identifier
1306993316
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
C10005008 Issued in DE
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

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000807501MedicaidDE
0503833000OtherAMERIHEALTH
050086513OtherRAIL 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000649 DE Practitioner - Pain ManagementPractitioner - Anesthesiology 4587720719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabilitation Associates PAGroup PAC ID 7416948526, 15 clinicians

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 Hospital, Newark, DE, CCN 080001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brandywine Pain Management P a Pain Medicine CurrentSince Apr 1, 2002 Accepting new patients
Rehabilitation Associates CurrentSince Aug 12, 2002 Accepting new patients
Rehabilitation Associates, P.a. CurrentSince Aug 12, 2002 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.