Individual provider Active NPI

Sreeya Yalamanchali, MD

  • Otolaryngology Physician
  • Fort Wayne, IN
National Provider Identifier
1760801872
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01082506A Issued in IN
Practice address
10021 Dupont Circle CT
Fort Wayne, IN 46825
Phone
(260) 426-8117
Fax
(260) 420-0817
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01082506A IN Primary

Addresses

Primary practice location

10021 Dupont Circle CT
Fort Wayne, IN 46825

Mailing address

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190801001955 IN Practitioner - Otolaryngology 4981900636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Saint Louis University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Associates PCGroup PAC ID 3375504301, 36 clinicians

Practice addresses (Care Compare)

10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117

Hospital & facility affiliations

  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Lutheran Hospital of Indiana Hospital, Fort Wayne, IN, CCN 150017
  • Cameron Health Hospital, Angola, IN, CCN 151315
  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
  • Dupont Hospital LLC Hospital, Fort Wayne, IN, CCN 150150

Merit-based Incentive Payment System (MIPS)

Final score
85.52 of 100Reported as individual
Quality
76.95
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Associates, PC Otolaryngology CurrentSince Sep 1, 2019 Accepting new patients
The Hearing Center LLC Past Accepting new patients

Locations

424 Williams St
Angola, IN 46703
Phone (260) 665-2926

1169 N Main St
Ste 5
Bluffton, IN 46714
Phone (260) 827-4368

7926 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 459-6924

10021 DuPont Circle Ct
Fort Wayne, IN 46825
Phone (219) 426-8117

5411 Meijer Dr
Fort Wayne, IN 46835
Phone (260) 469-6919

2003 Stults Rd
Ste 220
Huntington, IN 46750
Phone (260) 463-2133

2814 Theater Ave
Huntington, IN 46750
Phone (260) 356-3611

737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259

Interoperability endpoints

  • Direct secure messaging: syalamanchali@entfortwayne.gwaydirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1760801872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10021 DUPONT CIRCLE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251604",
            "telephone_number": "260-426-8117",
            "fax_number": "260-420-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10021 DUPONT CIRCLE CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-426-8117",
            "fax_number": "260-420-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHALI",
        "first_name": "SREEYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01082506A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.