Active NPI
Vijayanirmala Yedulla, M.D.
- Internal Medicine Physician
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301078978
- Practice address
- 36123 Schoolcraft Rd
Livonia, MI 48150-1216 - Phone
- (734) 464-0887
- Fax
- (734) 402-0254
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301078978 | MI | Primary |
Addresses
Primary practice location
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Mailing address
36123 Schoolcraft Rd
Livonia, MI 48150-1216
Phone (734) 464-0887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4742820 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22600 W Main St
Armada, MI 48005-3237
Phone (734) 508-4569
555 Highland Ave
Milford, MI 48381-1517
Phone (248) 684-1564
Hospital & facility affiliations
- Seasons Hospice & Palliative Care of Michigan
- Medilodge of Richmond
- The Orchards at Armada
- Martha T Berry MCF
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.72 of 100
- Quality
- 72.97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301078978 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Internal Medicine | Current | Accepting new patients |
| Inpatient Consultants of Michigan PC | Internal Medicine | Current | Accepting new patients |
| Mi Pacs 2 PC | Current | Accepting new patients | |
| Armada Mi Opco LLC | Past | Accepting new patients | |
| Richmond Opco LLC | Past | Accepting new patients | |
| Macomb County Human Services Board-an Agency of Macomb County | Past | Accepting new patients |
Locations
22600 W Main St
Armada, MI 48005
Phone (734) 508-4569
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
23550 Haggerty Rd
Farmington Hills, MI 48335
Phone (248) 381-8081
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
G3201 Beecher Rd
Flint, MI 48532
Phone (810) 732-9200
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140
3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400
555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564
1211 Stateline Rd
Niles, MI 49120
Phone (269) 684-2810
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730
625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Northville, MI
- NPI 1205418357
-
- Hospitalist Physician
- Brighton, MI
- NPI 1669901567
-
- Hospitalist Physician
- Livonia, MI
- NPI 1861442824
Internal Medicine
-
- Skilled Nursing Facility
- Armada, MI
- NPI 1568134179
-
- Skilled Nursing Facility
- Mount Clemens, MI
- NPI 1629056486
-
- Skilled Nursing Facility
- Richmond, MI
- NPI 1316388622
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Mount Clemens, MI
- NPI 1629056486
Nursing home
-
- Community Based Hospice Care Agency
- Madison Heights, MI
- NPI 1306891825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1346210119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36123 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501216",
"telephone_number": "734-464-0887",
"fax_number": "734-402-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36123 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501216",
"telephone_number": "734-464-0887",
"fax_number": "734-402-0254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEDULLA",
"first_name": "VIJAYANIRMALA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301078978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4742820",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.