NPIMap

Organization Active NPI

Ravi Yalamanchili, M.D, P.a

Doing business as Yalamanchili Brain and Spine

  • Neurological Surgery Physician
  • Frederick, MD
National Provider Identifier
1417012758
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
RAVI YALAMANCHILI, M.D, P.A
Doing business as
Yalamanchili Brain and Spine
Practice address
141 Thomas Johnson Dr
Suite # 200
Frederick, MD 21702-4502
Phone
(301) 846-0100
Fax
(301) 846-0244
NPI assigned
Dec 27, 2006
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Ravi Yalamanchili, M.DNPI 1053356378
Title
President
Phone
(301) 846-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

141 Thomas Johnson Dr
Suite # 200
Frederick, MD 21702-4502

Mailing address

141 Thomas Johnson Dr
Suite # 200
Frederick, MD 21702-4502
Phone (301) 846-0100

Other identifiers 3

IdentifierTypeStateIssuer
3810005071MedicaidWV
CG7938OtherMEDICARE RAILROAD
063205800MedicaidMD

Other names 1

  • Yalamanchili Brain and Spine Doing business as

National Provider Directory

National Provider Directory

Locations

1008 Tavern Rd
Ste 102
Martinsburg, WV 25401
Phone (304) 263-5129

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19671/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1417012758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR",
            "address_2": "SUITE # 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024502",
            "telephone_number": "301-846-0100",
            "fax_number": "301-846-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR",
            "address_2": "SUITE # 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024502",
            "telephone_number": "301-846-0100",
            "fax_number": "301-846-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI YALAMANCHILI, M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-846-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005071",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG7938",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063205800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yalamanchili Brain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.