Active NPI
Manohar Yedulapuram, MD
- Internal Medicine Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M1411
- Practice address
- PO Box 260489
Plano, TX 75026-0489 - Phone
- (972) 943-9377
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M1411 | TX | Primary |
| Hospitalist Physician | 208M00000X | M1411 | TX |
Addresses
Primary practice location
PO Box 260489
Plano, TX 75026-0489
Mailing address
PO Box 260489
Plano, TX 75026-0489
Phone (214) 842-6449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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)
221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175
5016 S US Hwy 75
Texoma Medical Center
Denison, TX 75020-4584
Phone (903) 416-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1411 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Pulmonary & Critical Care PA | Current | Accepting new patients | |
| Concord North Texas, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas - Burnet PLLC | Internal Medicine | Current | Accepting new patients |
| Uhs of Texoma, Inc | Past | Accepting new patients | |
| Columbia Medical Center of Plano Subsidiary LP | Past | Accepting new patients | |
| Physicians and Allied Health Professionals Group, PA | Internal Medicine | Past | Accepting new patients |
| T M Carr MD PC | Past | Accepting new patients |
Locations
504 Lipscomb St
Bonham, TX 75418
Phone (903) 583-8585
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
1498 Pacific Ave
Ste 500
Tacoma, WA 98402
Phone (253) 682-6040
Interoperability endpoints
- myedulapur@yourcarecommunity.org
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
-
- Hospitalist Physician
- Denison, TX
- NPI 1265275887
Internal Medicine
-
- Emergency Medicine Physician
- Bonham, TX
- NPI 1952761173
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Internal Medicine
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1407858426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260489",
"city": "PLANO",
"state": "TX",
"postal_code": "750260489",
"telephone_number": "214-842-6449",
"fax_number": "214-975-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 260489",
"city": "PLANO",
"state": "TX",
"postal_code": "750260489",
"telephone_number": "972-943-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEDULAPURAM",
"first_name": "MANOHAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M1411",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "M1411",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.