Individual provider Active NPI

Purnachandra Rao Yerneni, MD

  • Internal Medicine Physician
  • Bogalusa, LA
National Provider Identifier
1861571622
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10096R Issued in LA
Practice address
1011 Avenue F
Bogalusa, LA 70427-4334
Phone
(985) 732-9940
Fax
(985) 732-9979
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10096R LA Primary

Addresses

Primary practice location

1011 Avenue F
Bogalusa, LA 70427-4334

Mailing address

1011 Avenue F
Bogalusa, LA 70427-4334
Phone (985) 732-9940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080728000748 LA Practitioner - Internal MedicinePractitioner - Other (Physician) 4880630177 Practice locations: Bogalusa, LA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1011 Ave F
Bogalusa, LA 70427-4334
Phone (985) 732-9940

Hospital & facility affiliations

  • Omni Home Care Home health agency, Mandeville, LA, CCN 197097
  • Elara Caring Home health agency, Hammond, LA, CCN 197778
  • Pulse Home Health Care Home health agency, Covington, LA, CCN 197179
  • Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312
  • Bogalusa Rehabilitation Hospital Inpatient rehabilitation facility, Bogalusa, LA, CCN 713026
  • Resthaven Living Center Nursing home, Bogalusa, LA, CCN 195624

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Purnachandra R Yerneni MD PastSince Jan 1, 1990 Accepting new patients
PMG Opco-Bogalusa LLC Past Accepting new patients
Bogalusa Rehabilitation Hospital LLC Past Accepting new patients
Washington Wound Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: boginternalmedclinic@internal-med-clinic.direct.kno2fy.com

Organizations & group practices 4

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 6

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1861571622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274334",
            "telephone_number": "985-732-9940",
            "fax_number": "985-732-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274334",
            "telephone_number": "985-732-9940",
            "fax_number": "985-732-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERNENI",
        "first_name": "PURNACHANDRA",
        "middle_name": "RAO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "10096R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.