NPIMap

Individual provider Active NPI

Rajeev Yelamanchili, M.D.

  • Pulmonary Disease Physician
  • Apple Valley, CA
National Provider Identifier
1679685796
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
00A381900 Issued in CA
Practice address
16017 Tuscola Rd Ste a
Apple Valley, CA 92307-1317
Phone
(760) 242-2221
Fax
(760) 242-1249
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 00A381900 CA Primary

Addresses

Primary practice location

16017 Tuscola Rd Ste a
Apple Valley, CA 92307-1317

Mailing address

16017 Tuscola Rd Ste a
Apple Valley, CA 92307-1317
Phone (760) 242-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081211000448 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9032157979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Cardio-Pulmonary Medical Group IncGroup PAC ID 9234177171, 2 clinicians

Practice addresses (Care Compare)

16017 Tuscola Rd
Suite a
Apple Valley, CA 92307-1317
Phone (760) 774-6977

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.7
Improvement activities
40
Cost
79.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A381900CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Aug 1, 2024 Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Hospital of Barstow Inc Past Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

16850 Bear Valley Rd
Ste 100
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJIJBA/Endpoint/EJIJBA

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1679685796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 TUSCOLA RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071317",
            "telephone_number": "760-242-2221",
            "fax_number": "760-242-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16017 TUSCOLA RD STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071317",
            "telephone_number": "760-242-2221",
            "fax_number": "760-242-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELAMANCHILI",
        "first_name": "RAJEEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00A381900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.