Elliott Yodh, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA064851 Issued in PA

Practice address

1200 Mokychic Road
Collegeville, PA 19246

Phone

(610) 409-7890

NPI assigned

Jan 31, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• North American Spine & Pain Consultants LLC Naspac

  • Interventional Pain Medicine Physician
  • Newark, DE
  • NPI 1093164410
  Medicare reassignment NPD
• Integrated Wound Care Pennsylvania PLLC

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1447722863
  Medicare reassignment
• Naspac-NJ PLLC

  • Interventional Pain Medicine Physician
  • Paoli, PA
  • NPI 1073857256
  Medicare reassignment

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1497518724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MOKYCHIC ROAD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MOKYCHIC ROAD",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19246",
            "telephone_number": "610-409-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODH",
        "first_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Yacovelli
• William Yacovelli
• Andy Yan, PHARM D
• Ching Yeung, DO
• Tarah Yocum, IBCLC
• Melissa Caruth Yonchuk, M. ED., BCBA
• Joshua William Emborg Young
• Nicholas Young
• Nawal A Youssef, M.D.
• Yuvan Enterprise LLC

• Medical Physician Assistant in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.