Ashok Yanamadala, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

117717 Issued in MO

Practice address

4121 Union Rd Ste 201
Saint Louis, MO 63129-1070

Phone

(314) 930-3520

Fax

(314) 930-3675

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Psychiatry

Education

Virginia Commonwealth University, School of Medicine, 1993

Medicare assignment

May accept Medicare assignment

Group practices

Lakeside Behavioral Health LLCGroup PAC ID 9436439510, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lakesidebehavioral.ashokyanamadala@134654.advancedmd-direct.com

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.

• Lakeside Behavioral Health, LLC

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1093269003

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Little Hills Healthcare, LLC

  • Psychiatric Hospital
  • Saint Charles, MO
  • NPI 1659364206
  NPD (past)
• Southern Il Regional Social Services

  • Community/Behavioral Health Agency
  • Carbondale, IL
  • NPI 1083851182
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1558418301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 UNION RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291070",
            "telephone_number": "314-930-3520",
            "fax_number": "314-930-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 UNION RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291070",
            "telephone_number": "314-930-3520",
            "fax_number": "314-930-3675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4121 Union Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63129",
            "country_code": "US",
            "telephone_number": "314-930-3520 x1",
            "fax_number": "314-930-3675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 St. Peters Centre Blvd Ste. B",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "631296312",
            "country_code": "US",
            "telephone_number": "314-930-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANAMADALA",
        "first_name": "ASHOK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "117717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205266505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Yamada
• Christy Nicole Yamnitz, M.S.,CCC-SLP
• Stacy Renee Yamnitz, RN
• Hala Yamout, M.D.
• Yamuna Mathew DDS PC
• Ciarra Marie Yancey, PLPC
• Daniel Hixson Yancey, BCBA
• Remargo Yancie, L.P.C.
• Raquel Yancy
• John Yanez

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.