NPIMap

Individual provider Active NPI

Yamunadevi Sadasivan, M.D

  • Internal Medicine Physician
  • West Hazleton, PA
National Provider Identifier
1639482243
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD449469 Issued in PA
Practice address
20 Diana LN
West Hazleton, PA 18202-1210
Phone
(570) 790-2260
Fax
(570) 790-2277
NPI assigned
Jul 24, 2010
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD449469 PA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD449469 PA

Addresses

Primary practice location

20 Diana LN
West Hazleton, PA 18202-1210

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other names 1

  • Yamunadevi Elayampalayam Subramaniam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930002698 PA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9739309402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

20 Diana LN
West Hazleton, PA 18202-1210
Phone (570) 790-2260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449469PAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Dec 1, 2022 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Geisinger Clinic CurrentSince Dec 1, 2022 Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

1553 Chester Pike
Ste 201
Crum Lynne, PA 19022
Phone (610) 499-7181

100 N Academy Ave
Danville, PA 17822

200 E State St
Ste 100
Media, PA 19063
Phone (610) 619-7475

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

100 W Sproul Rd
Ste 221
Springfield, PA 19064
Phone (610) 338-2722

20 Diana Ln
West Hazleton, PA 18202
Phone (570) 790-2260

Interoperability endpoints

  • Direct secure messaging: ysadasivan557476@direct.geisinger.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1639482243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DIANA LN",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "182021210",
            "telephone_number": "570-790-2260",
            "fax_number": "570-790-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADASIVAN",
        "first_name": "YAMUNADEVI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD449469",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PA",
            "license": "MD449469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAMUNADEVI",
            "last_name": "ELAYAMPALAYAM SUBRAMANIAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hazleton, PA

Sources for this page

Verify at the official NPI Registry.