Active NPI
Sanjay S Yadav, MD
- Cardiovascular Disease Physician
- Atlanta, GA
National Provider Identifier
1811089766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 042492
- Practice address
- 275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709 - Phone
- (404) 605-2800
- Fax
- (404) 351-5983
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 042492 | GA | Primary |
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | 042492 | GA |
Addresses
Primary practice location
275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Mailing address
275 Collier Rd NW
Suite 500
Atlanta, GA 30309-1709
Phone (404) 605-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000713556EFGH | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17207 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Georgia LLC | Cardiovascular Disease | Past | Accepting new patients |
| Cardiology of Georgia | Cardiovascular Disease | Past | Accepting new patients |
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1255495479
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1831376292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1811089766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091709",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 COLLIER RD NW",
"address_2": "SUITE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091709",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADAV",
"first_name": "SANJAY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "042492",
"primary": true
},
{
"code": "2084D0003X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "GA",
"license": "042492",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000713556EFGH",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.