Individual provider Active NPI

Yashwanth Yerramalla, M.D.

  • Pulmonary Disease Physician
  • Springdale, AR
National Provider Identifier
1811331192
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E-18477 Issued in AR
Practice address
4600 Mercy LN Ste 220
Springdale, AR 72762-3070
Phone
(479) 347-3810
Fax
(479) 338-3089
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2016039972 MO
Pulmonary Disease Physician 207RP1001X 2016039972 MO
Pulmonary Disease Physician 207RP1001X E-18477 AR Primary

Addresses

Primary practice location

4600 Mercy LN Ste 220
Springdale, AR 72762-3070

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Other practice location 1

1002 McIntosh Cir Ste 4
Joplin, MO 64804-3600
Phone (417) 347-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170720000937 MO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4284904442 Reassigns benefits to 1 organization
I20250106002965 AR Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4284904442 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

4600 Mercy LN
Springdale, AR 72762-3070
Phone (479) 347-3900

7303 Rogers Ave
Suite 200
Fort Smith, AR 72903-4112
Phone (479) 314-4810

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

Merit-based Incentive Payment System (MIPS)

Final score
74.07 of 100Reported as group
Quality
45.41
Promoting interoperability
97
Improvement activities
40
Cost
70.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016039972MOMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 19, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 1, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 31, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 31, 2024 Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients
Freeman-Oak Hill Health System PastSince Jul 10, 2017 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7303 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 274-4300

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

4600 Mercy Ln
Ste 220
Springdale, AR 72762
Phone (479) 338-3080

4600 Mercy Ln
Springdale, AR 72762
Phone (479) 338-2911

Organizations & group practices 9

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 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": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1811331192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979",
            "fax_number": "314-364-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MERCY LN STE 220",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623070",
            "telephone_number": "479-347-3810",
            "fax_number": "479-338-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 McIntosh Cir Ste 4",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043600",
            "country_code": "US",
            "telephone_number": "417-347-8315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YERRAMALLA",
        "first_name": "YASHWANTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2016039972",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2016039972",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AR",
            "license": "E-18477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.