Individual provider Active NPI

Himabindu B Yarlagadda, MD

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1881609345
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301078172 Issued in MI
Practice address
420 S Saginaw St
Flint, MI 48502-1803
Phone
(810) 232-3522
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 4301078172 MI
Internal Medicine Physician 207R00000X 4301078172 MI Primary

Addresses

Primary practice location

420 S Saginaw St
Flint, MI 48502-1803

Mailing address

420 S Saginaw St
Flint, MI 48502-1803
Phone (810) 232-3522

Other identifiers 2

IdentifierTypeStateIssuer
4733830MedicaidMI
1102511701OtherMIBCBSM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address himabinduyarlagadda@migra.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050621000214 MI Practitioner - Internal Medicine 9537104609 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Genesys Hospital CurrentSince Sep 1, 2015 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Henry Ford Health Genesys Hospital Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Mid-Michigan Hospitalist Group PC Internal Medicine Past Accepting new patients
Genesys Practice Partners Inc Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1881609345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021803",
            "telephone_number": "810-232-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021803",
            "telephone_number": "810-232-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARLAGADDA",
        "first_name": "HIMABINDU",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301078172",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4733830",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1102511701",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "himabinduyarlagadda@migra.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "420 S Saginaw St",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485021803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.