Individual provider Active NPI

Vanama Yerra, MD

  • Internal Medicine Physician
  • Edmond, OK
National Provider Identifier
1437246717
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22719 Issued in OK
Practice address
820 W Danforth Rd
B-30
Edmond, OK 73003-5006
Phone
(405) 602-3553
Fax
(405) 602-3556
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22719 OK Primary

Addresses

Primary practice location

820 W Danforth Rd
B-30
Edmond, OK 73003-5006

Mailing address

820 W Danforth Rd
B-30
Edmond, OK 73003-5006
Phone (405) 602-3553

Other identifiers 1

IdentifierTypeStateIssuer
200219490AMedicaidOK

Other names 1

  • Dr. Vanama Yerra Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20090106000050 OK Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Geriatric Medicine 6800959628 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

Hospital & facility affiliations

  • Centric Hospice Hospice, Durant, OK, CCN 371702
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Medical Park West Rehabilitation & Skilled Care Nursing home, Norman, OK, CCN 375551

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanama Yerra M.D. PLLC Internal Medicine CurrentSince Jun 13, 2012 Accepting new patients
Spectrum Healthcare Solutions, PLLC CurrentSince Dec 7, 2016 Accepting new patients
Transitional Care Organization LLC CurrentSince Jul 17, 2025 Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients
PF MPW SNF Ops, LLC Past Accepting new patients

Locations

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

3110 Healthplex Dr
Norman, OK 73072
Phone (405) 292-2400

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

315 SW 80th St
Oklahoma City, OK 73139
Phone (214) 272-2774

4220 N Classen Blvd
Ste A
Oklahoma City, OK 73118
Phone (405) 768-5749

4220 N Classen Blvd
Ste D
Oklahoma City, OK 73118
Phone (405) 259-2333

Organizations & group practices 5

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 3

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1437246717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DANFORTH RD",
            "address_2": "B-30",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035006",
            "telephone_number": "405-602-3553",
            "fax_number": "405-602-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W DANFORTH RD",
            "address_2": "B-30",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035006",
            "telephone_number": "405-602-3553",
            "fax_number": "405-602-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERRA",
        "first_name": "VANAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200219490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANAMA",
            "last_name": "YERRA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.