Active NPI
Venkata R. Yerramilli, M.D.
- Family Medicine Physician
- Bonita Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME109954
- Practice address
- 3302 Bonita Beach Rd Ste 170
Bonita Springs, FL 34134-4217 - Phone
- (239) 624-1050
- Fax
- (239) 624-1051
- NPI assigned
- Apr 7, 2006
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME109954 | FL | Primary |
Addresses
Primary practice location
3302 Bonita Beach Rd Ste 170
Bonita Springs, FL 34134-4217
Mailing address
3302 Bonita Beach Rd
#170
Bonita Springs, FL 34134-4216
Phone (239) 624-1050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003569500 | Medicaid | FL | |
| 14CR6 | Other | FL | BCBS |
| EZ010X | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.25 of 100
- Quality
- 87.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Tri City Medical Hospitalists LLC | Past | Accepting new patients |
Locations
3302 Bonita Beach Rd
Ste 170
Bonita Springs, FL 34134
Phone (239) 624-1050
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
Interoperability endpoints
- vyerramilli23383@nchhealthcaresystem.direct-ci.com
Organizations & group practices 4
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.
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- NPI 1932595659
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
-
- Internal Medicine Physician
- N Las Vegas, NV
- NPI 1275579385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346203775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 BONITA BEACH RD",
"address_2": "#170",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344216",
"telephone_number": "239-624-1050",
"fax_number": "239-624-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 BONITA BEACH RD STE 170",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344217",
"telephone_number": "239-624-1050",
"fax_number": "239-624-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YERRAMILLI",
"first_name": "VENKATA",
"middle_name": "R.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME109954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003569500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14CR6",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "EZ010X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.