Individual provider Active NPI

Kalyan Chakravarthy Yarraguntla, MD, MS

  • Neurology Physician
  • Pittsburgh, PA
National Provider Identifier
1508353145
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD481264 Issued in PA
Practice address
300 Halket St
Pittsburgh, PA 15213-3108
Phone
(412) 692-4624
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4351044196 MI
Neurology Physician 2084N0400X MD481264 PA Primary

Addresses

Primary practice location

300 Halket St
Pittsburgh, PA 15213-3108

Mailing address

46830 Jans Dr
Chesterfield, MI 48047-5126
Phone (314) 308-9326

Other practice location 1

4201 Saint Antoine St # 8C
Detroit, MI 48201-2153
Phone (313) 745-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240515004143 MI Practitioner - Neurology 8527392893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, 155 clinicians
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Ascension Macomb Oakland Hospital
Warren, MI 48093-3472
Phone (586) 573-5000

27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326

36750 26 Mile Rd
Suite 230
Chesterfield, MI 48047-2926
Phone (586) 738-9440

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3000

Hospital & facility affiliations

  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Detroit Receiving Hospital Hospital, Detroit, MI, CCN 230273
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince May 1, 2024 Accepting new patients
Henry Ford Semi Medical Group CurrentSince May 30, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Henry Ford Semi Medical Group Neurology Current Accepting new patients
Henry Ford Semi Medical Group CurrentSince May 30, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 30, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince May 30, 2024 Accepting new patients
Ascension Macomb Oakland Hospital Past Accepting new patients
University Physician Group Past Accepting new patients
VHS Detroit Receiving Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

36750 26 Mile Rd
Ste 230
Chesterfield, MI 48047
Phone (586) 738-9440

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

4201 Saint Antoine St
Ste 8A
Detroit, MI 48201
Phone (313) 577-8114

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4201 Saint Antoine St
Ste 8A8B
Detroit, MI 48201

4201 Saint Antoine St
#8C
Detroit, MI 48201
Phone (313) 745-1302

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

37771 Schoenherr Rd
Ste 104
Sterling Hts, MI 48312
Phone (810) 286-0050

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

11900 E 12 Mile Rd
Ste 205
Warren, MI 48093
Phone (586) 576-4907

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: kalyan.yarraguntla.1@19711.direct.athenahealth.com
  • Direct secure messaging: kyarraguntla1158368@direct.hfhs.org

Organizations & group practices 11

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 5

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": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1508353145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46830 JANS DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475126",
            "telephone_number": "314-308-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HALKET ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133108",
            "telephone_number": "412-692-4624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St # 8C",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "313-745-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARRAGUNTLA",
        "first_name": "KALYAN",
        "middle_name": "CHAKRAVARTHY",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4351044196",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD481264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.