Individual provider Active NPI

Lakshminarayan Yerra, MD

  • Interventional Cardiology Physician
  • Wilkes Barre, PA
National Provider Identifier
1366549933
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD431935 Issued in PA
Practice address
1111 E End Blvd
Wilkes Barre, PA 18711-0030
Phone
(570) 824-3521
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD431935 PA Primary
Cardiovascular Disease Physician 207RC0000X MD431935 PA
Internal Medicine Physician 207R00000X MD431935 PA

Addresses

Primary practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Mailing address

2000 Q St
Ste 500
Lincoln, NE 68503-3610
Phone (402) 328-4572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20151028001951 NE Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 0648257600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

102 McNeel LN
Suite 1
North Platte, NE 69101-6299
Phone (308) 532-5522

104 W 17TH St
Schuyler, NE 68661-1304
Phone (402) 352-2441

1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421

120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321

145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-4100

2222 N Lincoln Ave
York General Hospital
York, NE 68467-1030
Phone (402) 362-6671

300 E 12TH St
Cozad Community Hospital
Cozad, NE 69130-1505
Phone (308) 784-2261

555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000

727 E 1St St
Kearney County Health Services
Minden, NE 68959-1705
Phone (308) 832-3400

7440 S 91St St
Lincoln, NE 68526-9797

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

910 20TH St
Gothenburg, NE 69138-1237
Phone (308) 537-3661

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.09 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
70.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD431935PAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Jul 1, 2021 Accepting new patients
The Physician Network Internal Medicine PastSince Sep 1, 2011 Accepting new patients
Southcoast Hospitals Group, Inc Past Accepting new patients
Nebraska Heart Hospital Past Accepting new patients

Locations

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

614 S Main St
Smith Center, KS 66967
Phone (785) 282-6845

3219 Central Ave
Ste 201
Kearney, NE 68847
Phone (308) 865-7271

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

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.

Hospital & facility affiliations 5

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1366549933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 Q ST",
            "address_2": "STE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685033610",
            "telephone_number": "402-328-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E END BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110030",
            "telephone_number": "570-824-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERRA",
        "first_name": "LAKSHMINARAYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD431935",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD431935",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD431935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.