Individual provider Active NPI

Revanth Sai Yendamuri, MD

  • Infectious Disease Physician
  • Cumming, GA
National Provider Identifier
1811575533
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
112150 Issued in GA
Practice address
101 Greenfield Dr Ste 100
Cumming, GA 30040-3171
Phone
(678) 845-7300
NPI assigned
Apr 1, 2021
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 112150 GA Primary
Internal Medicine Physician 207R00000X 112150 GA

Addresses

Primary practice location

101 Greenfield Dr Ste 100
Cumming, GA 30040-3171

Mailing address

5655 Cannonero Dr
Alpharetta, GA 30005-7871
Phone (770) 361-3156

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (330) 608-1532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.150251GAMDInternal Medicine Physician
112150GAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Professionals, LLC Infectious Disease CurrentSince Aug 1, 2026 Accepting new patients

Locations

101 Greenfield Dr
Ste 100
Cumming, GA 30040
Phone 6787861314103

4255 Johns Creek Pkwy
Ste A
Suwanee, GA 30024
Phone (678) 786-1314

Organizations & group practices 1

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1811575533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 CANNONERO DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300057871",
            "telephone_number": "770-361-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREENFIELD DR STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300403171",
            "telephone_number": "678-845-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "330-608-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENDAMURI",
        "first_name": "REVANTH",
        "middle_name": "SAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "112150",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "112150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.