NPIMap

Individual provider Active NPI

Sanjay Venkatesesha Yadlapalli, M.D.

  • Cardiovascular Disease Physician
  • Roseville, CA
National Provider Identifier
1487626412
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A53141 Issued in CA
Practice address
2 Medical Plaza Dr
Suite #175
Roseville, CA 95661-3049
Phone
(916) 782-2146
Fax
(916) 782-4299
NPI assigned
Feb 3, 2006
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A53141 CA Primary

Addresses

Primary practice location

2 Medical Plaza Dr
Suite #175
Roseville, CA 95661-3049

Mailing address

2 Medical Plaza Dr
Suite #175
Roseville, CA 95661-3043
Phone (916) 782-2146

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ06970ZOtherBLUE SHIELD
GR009400MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000586 CA Practitioner - Cardiovascular Disease (Cardiology) 5395637292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roseville Cardiology Medical Associates, Inc.Group PAC ID 4688566573, 6 clinicians

Practice addresses (Care Compare)

2 Medical Plaza Dr
Suite 175
Roseville, CA 95661-3049
Phone (916) 782-2146

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.94 of 100Reported as group
Quality
96.33
Promoting interoperability
100
Improvement activities
40
Cost
76.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53141CAMDMarriage & Family Therapist
A53141CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Cardiology Medical Associates, Inc. Cardiovascular Disease CurrentSince Jul 1, 2003 Accepting new patients
Sutter Regional Medical Foundation Cardiovascular Disease Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

11971 Heritage Oak Pl
Ste 78
Auburn, CA 95603
Phone (916) 782-2146

685 Twelve Bridges Dr
Ste G
Lincoln, CA 95648
Phone (916) 408-5478

685 Twelve Bridges Dr
Ste D
Lincoln, CA 95648
Phone (916) 644-3148

2 Medical Plaza Dr
Ste 175
Roseville, CA 95661
Phone (916) 782-2146

Interoperability endpoints

  • Direct secure messaging: syadlapalli61307@hisp.ehr.sutterhealth.org

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 4

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1487626412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR",
            "address_2": "SUITE #175",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613043",
            "telephone_number": "916-782-2146",
            "fax_number": "916-782-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA DR",
            "address_2": "SUITE #175",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613049",
            "telephone_number": "916-782-2146",
            "fax_number": "916-782-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADLAPALLI",
        "first_name": "SANJAY",
        "middle_name": "VENKATESESHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A53141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ06970Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR009400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.