Active NPI
Atmaram Yarlagadda, MD
- Psychiatry Physician
- Fort Eustis, VA
National Provider Identifier
1487760690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101238620
- Practice address
- 502 Sternberg Ave
Fort Eustis, VA 23604-1527 - Phone
- (757) 314-7586
- Fax
- (757) 872-7211
- NPI assigned
- Aug 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101238620 | VA | Primary |
Addresses
Primary practice location
502 Sternberg Ave
Fort Eustis, VA 23604-1527
Mailing address
502 Sternberg Ave
Fort Eustis, VA 23604-1527
Phone (757) 314-7586
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087748M | Other | VA | SENTARA |
| 7265863 | Other | VA | AETNA |
| 184125 | Other | VA | ANTHEM |
| 010196639 | Other | VA | FIRST HEALTH SERVICES COR |
| 366237 | Other | VA | MHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101238620 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Associates of Tidewater | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1487760690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 STERNBERG AVE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041527",
"telephone_number": "757-314-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 STERNBERG AVE",
"city": "FORT EUSTIS",
"state": "VA",
"postal_code": "236041527",
"telephone_number": "757-314-7586",
"fax_number": "757-872-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARLAGADDA",
"first_name": "ATMARAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101238620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "087748M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7265863",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "184125",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH SERVICES COR",
"identifier": "010196639",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "366237",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Eustis, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.