Individual provider Active NPI

Anil Venkata Seshu Yallapragada, MD

  • Vascular Neurology Physician
  • Charleston, SC
National Provider Identifier
1639338585
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
36437 Issued in SC
Practice address
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone
(438) 474-4372
Fax
(843) 847-5187
NPI assigned
Jun 5, 2008
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 0101269619 VA
Vascular Neurology Physician 2084V0102X 32550 WV
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Neurology Physician 2084V0102X 36437 SC Primary
Neurology Physician 2084N0400X 307357 NY
Neurology Physician 2084N0400X 36437 SC
Neurology Physician 2084N0400X 0101269619 VA
Neurology Physician 2084N0400X A117333 CA
Neurology Physician 2084N0400X 32550 WV

Addresses

Primary practice location

9330 Medical Plaza Dr
Charleston, SC 29406-9104

Mailing address

400 Association Dr Ste 102
Charleston, WV 25311-1298
Phone (304) 388-1724

Other practice location 1

501 Morris St
Charleston, WV 25301-1326
Phone (304) 674-6006

Other practice location 2

415 Morris St Ste 300
Charleston, WV 25301-1853
Phone (304) 388-6441

Other practice location 3

2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679
Phone (540) 689-5400

Other identifiers 2

IdentifierTypeStateIssuer
1639338585MedicaidCA
364377MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, NY, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140211000485 SC Practitioner - Neurology 9739343740 Reassigns benefits to 1 organization
I20200603002957 VA Practitioner - Neurology 9739343740 Reassigns benefits to 3 organizations
I20210415000983 NY Practitioner - Neurology 9739343740 Reassigns benefits to 1 organization
I20230802004471 MD Practitioner - Neurology 9739343740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1510 N 28TH St
Richmond, VA 23223-5311

3 Riverside Cir
Roanoke, VA 24016-4955
Phone (540) 224-5170

5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307357NYMDNeurology Physician
36437SCMDNeurology Physician
0101269619VAMDNeurology Physician
32550WVMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Jun 21, 2020 Accepting new patients
Rochester General Hospital Current Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Jun 20, 2023 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jun 20, 2023 Accepting new patients
RMH Medical Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Carilion Medical Center CurrentSince Jun 21, 2020 Accepting new patients
Rochester General Hospital CurrentSince Feb 15, 2021 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Sep 11, 2016 Accepting new patients
Rochester General Hospital CurrentSince Feb 15, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Neurology CurrentSince Mar 10, 2023 Accepting new patients
Prisma Health Medical Group-Midlands Neurology CurrentSince Sep 11, 2016 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Mar 10, 2023 Accepting new patients

Locations

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5051 Greenspring Ave
Ste 300
Baltimore, MD 21209
Phone (410) 601-1900

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

8 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 254-5038

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

8 Richland Medical Park Dr
Ste 420
Columbia, SC 29203
Phone (803) 434-8050

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

3 Riverside Cir
Roanoke, VA 24016

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

2006 Health Campus Dr
Ste 300
Rockingham, VA 22801
Phone (540) 689-5400

1871 Evelyn Byrd Ave
Rockingham, VA 22801
Phone (540) 434-0559

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1639338585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASSOCIATION DR STE 102",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253111298",
            "telephone_number": "304-388-1724",
            "fax_number": "304-388-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "438-474-4372",
            "fax_number": "843-847-5187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-674-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Morris St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011853",
            "country_code": "US",
            "telephone_number": "304-388-6441",
            "fax_number": "304-388-6445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Health Campus Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YALLAPRAGADA",
        "first_name": "ANIL",
        "middle_name": "VENKATA SESHU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "VA",
            "license": "0101269619",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "WV",
            "license": "32550",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SC",
            "license": "36437",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "307357",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "36437",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101269619",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A117333",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "32550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639338585",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364377",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.