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

Last updated

Oct 20, 2009By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cook County

  dba John H. Stroger, Jr. Hospital of 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.

  dba Saint Joseph Medical Group

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

  dba Cook County Health & Hospitals System Physician Services

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

  dba Bronzeville Health Center

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

  dba Saint Joseph Medical Group

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

  dba Gibson Area Hospital and Health Services

  • 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

  dba Cook County Health at Blue Island Health Center

  • Clinic Pharmacy
  • Blue Island, IL
  • NPI 1043238298

  Hospital

  Care Compare affiliation
• Cook County

  dba Robbins Health Center (FFS)

  • Family Medicine Physician
  • Robbins, IL
  • NPI 1053942045

  Hospital

  Care Compare affiliation
• Cook County

  dba Cook County Health - S - UA

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Cook County Health at North Riverside Health (FFS)

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Woody Winston Health Center

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Ruth M. Rothstein CORE Center (FFS)

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1366073256

  Hospital

  Care Compare affiliation
• Cook County

  dba Arlington Heights Health Center (FFS)

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Cook County Health Professional Building

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Near South Health Cener

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Cottage Grove Health Center (FFS)

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Oak Forest Health Center (FFS)

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

  Hospital

  Care Compare affiliation
• Cook County

  dba Morton East Adolescent Health Center (FFS)

  • 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 (primary care joliet)
• Yatin M Shah MD SC (primary care joliet)
• 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.