Individual provider Active NPI

Vidhush Yarlagadda, M.D.

  • Urology Physician
  • Clarksville, TN
National Provider Identifier
1700297553
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0000059608 Issued in TN
Practice address
787 Weatherly Dr Ste 400
Clarksville, TN 37043-8952
Phone
(931) 291-9150
Fax
(931) 291-9201
NPI assigned
May 14, 2014
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0000059608 TN Primary

Addresses

Primary practice location

787 Weatherly Dr Ste 400
Clarksville, TN 37043-8952

Mailing address

787 Weatherly Dr Ste 400
Clarksville, TN 37043-8952
Phone (931) 291-9150

Other practice location 1

417 Northcrest Dr
Springfield, TN 37172-3973
Phone (931) 291-9150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20191011001307 TN Practitioner - Urology 2860789864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Meharry Medical College School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 851-6033

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000059608TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Dec 1, 2023 Accepting new patients
Dino a Delaurentis DO PLLC Urology CurrentSince Jul 23, 2019 Accepting new patients
Timothy K Duffin MD PLC Current Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Dec 1, 2023 Accepting new patients

Locations

787 Weatherly Dr
Ste 400
Clarksville, TN 37043
Phone (931) 291-9150

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

417 Northcrest Dr
Springfield, TN 37172
Phone (615) 382-5204

Interoperability endpoints

  • Direct secure messaging: vidhush.yarlagadda@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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 4

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1700297553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 WEATHERLY DR STE 400",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438952",
            "telephone_number": "931-291-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WEATHERLY DR STE 400",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438952",
            "telephone_number": "931-291-9150",
            "fax_number": "931-291-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Northcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "TN",
            "postal_code": "371723973",
            "country_code": "US",
            "telephone_number": "931-291-9150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARLAGADDA",
        "first_name": "VIDHUSH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "0000059608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.