Individual provider Active NPI

Ratna K Yadla, M.D

  • Nephrology Physician
  • Greenbelt, MD
National Provider Identifier
1700988755
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0026210 Issued in MD
Practice address
7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone
(301) 345-0605
Fax
(301) 345-0606
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0026210 MD Primary

Addresses

Primary practice location

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621

Mailing address

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Other identifiers 1

IdentifierTypeStateIssuer
407581100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050317000286 DC Practitioner - NephrologyPractitioner - Internal Medicine 2668469214 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026210MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maryland Nephrology, LLC CurrentSince Apr 1, 2007 Accepting new patients
Yadla LLC Past Accepting new patients
Lanham Dialysis Access Center LLC PastSince Jan 2, 2009 Accepting new patients
Centurion Vascular Care LLC PastSince Feb 1, 2020 Accepting new patients

Locations

1127 West St
Ste 105
Annapolis, MD 21401
Phone (301) 345-0605

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-0605

7331 Hanover Pkwy
Greenbelt, MD 20770

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1700988755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADLA",
        "first_name": "RATNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0026210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407581100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.