Individual provider Active NPI

Swarnalatha Reddy Yerrapu, M.D

  • Psychiatry Physician
  • Columbia, MO
National Provider Identifier
1366720385
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2017005100 Issued in MO
Practice address
1000 W Nifong Blvd BLDG 6
Columbia, MO 65203-5615
Phone
(888) 103-1071
NPI assigned
Jul 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2017005100 MO Primary

Addresses

Primary practice location

1000 W Nifong Blvd BLDG 6
Columbia, MO 65203-5615

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other practice location 1

1 Hospital Dr
Columbia, MO 65212-1000
Phone (573) 882-8907

Other identifiers 1

IdentifierTypeStateIssuer
2014023523OtherMOTEMPORARY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170323000202 MO Practitioner - Psychiatry 9335424977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians
State of MissouriGroup PAC ID 1456254226, 48 clinicians

Practice addresses (Care Compare)

2011 Chapel Plaza CT
Suite 9
Columbia, MO 65203-6398
Phone (573) 303-3544

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249

2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303

600 E 5TH St
Fulton State Hospital
Fulton, MO 65251-1793
Phone (573) 592-4100

Hospital & facility affiliations

  • SSM Health St. Mary'S Hospital - Jefferson City Hospital, Jefferson City, MO, CCN 260011
  • Missouri Baptist Sullivan Hospital Hospital, Sullivan, MO, CCN 261337
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri Psychiatry CurrentSince Mar 1, 2017 Accepting new patients
State of Missouri Psychiatry CurrentSince Mar 1, 2017 Accepting new patients
SSM Regional Health Services CurrentSince Apr 25, 2021 Accepting new patients
SSM Regional Health Services CurrentSince Apr 25, 2021 Accepting new patients
Missouri Baptist Hospital of Sullivan Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

600 E 5th St
Fulton, MO 65251
Phone (573) 592-2623

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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.

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1366720385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W NIFONG BLVD BLDG 6",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035615",
            "telephone_number": "888-103-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652121000",
            "country_code": "US",
            "telephone_number": "573-882-8907",
            "fax_number": "573-884-1070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YERRAPU",
        "first_name": "SWARNALATHA",
        "middle_name": "REDDY",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2017005100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEMPORARY LICENSE",
            "identifier": "2014023523",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.