Individual provider Active NPI

Yamuna Ekambaram, MD

  • Pediatrics Physician
  • Redstone, AL
National Provider Identifier
1699740381
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10376 Issued in AL
Practice address
4100 Goss Rd
Fox Army Health Center, Pediatric Clinic
Redstone, AL 35809-7000
Phone
(256) 955-8888
Fax
(256) 313-3260
NPI assigned
Feb 17, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10376 AL Primary

Addresses

Primary practice location

4100 Goss Rd
Fox Army Health Center, Pediatric Clinic
Redstone, AL 35809-7000

Mailing address

4100 Goss Rd
Fox Army Health Center, Credentials Coordinator
Redstone Arsenal, AL 35809-7000
Phone (256) 955-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20240215002947 MS Practitioner - Pediatric Medicine 8628412848 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10376ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sai Sanjeevani Medical Group LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

785 Ohio Ave
Ste 3E
Clarksdale, MS 38614
Phone (662) 351-0702

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699740381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD",
            "address_2": "FOX ARMY HEALTH CENTER, CREDENTIALS COORDINATOR",
            "city": "REDSTONE ARSENAL",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-313-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 GOSS RD",
            "address_2": "FOX ARMY HEALTH CENTER, PEDIATRIC CLINIC",
            "city": "REDSTONE",
            "state": "AL",
            "postal_code": "358097000",
            "telephone_number": "256-955-8888",
            "fax_number": "256-313-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKAMBARAM",
        "first_name": "YAMUNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "10376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.