Individual provider Active NPI

Pridhvi Rajakumar Yelamanchili, MD

  • Interventional Cardiology Physician
  • Mesa, AZ
National Provider Identifier
1790730604
Registry record updated Apr 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
46488 Issued in AZ
Practice address
2045 S Vineyard Ste 119
Mesa, AZ 85210-6889
Phone
(480) 786-9685
Fax
(480) 304-3460
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 46488 AZ Primary

Addresses

Primary practice location

2045 S Vineyard Ste 119
Mesa, AZ 85210-6889

Mailing address

2045 S Vineyard Ste 119
Mesa, AZ 85210-6889
Phone (480) 786-9685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120910000660 AZ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2668483751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-City Cardiology Consultants PCGroup PAC ID 2062303076, 40 clinicians

Practice addresses (Care Compare)

6750 E Baywood Ave
Suite 301
Mesa, AZ 85206-1749
Phone (480) 835-6100

Hospital & facility affiliations

  • Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10
Varicose vein removal59
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46488AZMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC Cardiovascular Disease CurrentSince Mar 1, 2022 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Mar 1, 2022 Accepting new patients
Corazon Cardiac & Vascular Institute, PLLC Cardiovascular Disease Current Accepting new patients
Hope Diabetes Center, LLC Internal Medicine Past Accepting new patients
Hospital Medicine Group Inc Family Medicine Past Accepting new patients

Locations

3530 S Val Vista Dr
Ste 103
Gilbert, AZ 85297

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

116 N Lindsay Rd
Ste 7
Mesa, AZ 85213
Phone (480) 644-0644

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

6343 E Main St
Ste 12
Mesa, AZ 85205

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

143 S 63rd St
Mesa, AZ 85206
Phone (480) 993-1000

6402 E Superstition Springs Blvd
Ste 114
Mesa, AZ 85206
Phone (928) 985-1810

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pridhvi.yelamanchili.p1@direct.tcc.nextgenshare.com

Organizations & group practices 5

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 7

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524873600000",
    "number": "1790730604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "480-786-9685",
            "fax_number": "480-304-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "480-786-9685",
            "fax_number": "480-304-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELAMANCHILI",
        "first_name": "PRIDHVI",
        "middle_name": "RAJAKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "46488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.