Ramana Venkata Yedavalli, M.D., M.S.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

036124148 Issued in IL

Practice address

1200 Maple Rd
Suite 3309
Joliet, IL 60432-1439

Phone

(815) 723-9351

NPI assigned

Jan 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Illinois Medical College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• John H Stroger Jr Hospital Hospital, Chicago, IL, CCN 140124
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

Practice roles

Locations

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.

• Cook County

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1588612832
  Medicare reassignment Care Compare group NPD
• Radiology Consultants of Rockford LTD

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1013985647
  Medicare reassignment NPD
• Imaging Associates of Indiana, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1699072611

  Vascular & Interventional Radiology

  Medicare reassignment NPD
• Munster Radiology Group PC

  • Diagnostic Radiology Physician
  • Munster, IN
  • NPI 1144207101

  IL, Vascular & Interventional Radiology

  Medicare reassignment NPD
• Saint Joseph Regional Medical Center, Inc.

  • Pulmonary Disease Physician
  • Plymouth, IN
  • NPI 1225082878
  Medicare reassignment NPD
• Cook County

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1821385170
  NPD
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1831219450
  NPD
• Saint Joseph Regional Medical Center, Inc.

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1467406074
  NPD
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• Nephrology Specialists, PC.

  • Nephrology Physician
  • Munster, IN
  • NPI 1881671865
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cook County

  • Clinic Pharmacy
  • Blue Island, IL
  • NPI 1043238298

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Robbins, IL
  • NPI 1053942045

  Hospital

  Care Compare affiliation
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1093283533

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • North Riverside, IL
  • NPI 1295366466

  Hospital

  Care Compare affiliation
• Cook County

  • Primary Care Clinic/Center
  • Phoenix, IL
  • NPI 1336269133

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1366073256

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1366073355

  Hospital

  Care Compare affiliation
• Cook County

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1386110674

  Hospital

  Care Compare affiliation
• Cook County

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1396865077

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Ford Heights, IL
  • NPI 1427689413

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Oak Forest, IL
  • NPI 1457982340

  Hospital

  Care Compare affiliation
• Cook County

  • Family Medicine Physician
  • Cicero, IL
  • NPI 1457982449

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1356589691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAPLE RD",
            "address_2": "SUITE 3309",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321439",
            "telephone_number": "815-723-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAPLE RD",
            "address_2": "SUITE 3309",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321439",
            "telephone_number": "815-723-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDAVALLI",
        "first_name": "RAMANA",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-24",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036124148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahyun Yang, LSW
• Nelia Yarbrough
• Yatin M Shah MD SC
• Yatin M Shah MD SC
• Nina Yedavalli, M.D.
• Debra Yirku, P.T.
• Jenn-Houng Yo, OTR
• Wendy Yoder
• Eleanor Yonushatis, HEARING DT
• Alesha Young, APN FNP-BC

• Vascular & Interventional Radiology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Vascular & Interventional Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.

Verify at the official NPI Registry.