Individual provider Active NPI

Sri Venkateswara CH Yedlapalli, MD

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1902842172
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N4861 Issued in TX
Practice address
3520 Preston Rd
Suite 108
Frisco, TX 75034-9487
Phone
(214) 843-4623
Fax
(214) 436-5792
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 18470 MS
Emergency Medicine Physician 207P00000X N4861 TX
Internal Medicine Physician 207R00000X N4861 TX Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X N4861 TX

Addresses

Primary practice location

3520 Preston Rd
Suite 108
Frisco, TX 75034-9487

Mailing address

3520 Preston Rd
Suite 108
Frisco, TX 75034-9487
Phone (214) 843-4623

Other identifiers 1

IdentifierTypeStateIssuer
07559846MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070613000747 TX Practitioner - Internal MedicinePractitioner - Emergency Medicine 6406817857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Associates PLLCGroup PAC ID 2466613146, 3 clinicians

Practice addresses (Care Compare)

9300 John Hickman Pkwy
Suite 704
Frisco, TX 75035-5920
Phone (214) 436-4949

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4861TXMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Jan 1, 2015 Accepting new patients
Southern Medical Associates PLLC Internal Medicine CurrentSince Jun 26, 2011 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Jan 1, 2015 Accepting new patients
Southwest General Emergency Physicians, PLLC Emergency Medicine Current Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Mississippi Band of Choctaw Indians Past Accepting new patients
Mississippi Band of Choctaw Indians Past Accepting new patients
Brazos Valley Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

9300 John Hickman Pkwy
Ste 704
Frisco, TX 75035
Phone (214) 436-4949

3520 Preston Rd
Ste 108
Frisco, TX 75034
Phone (214) 436-4949

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Interoperability endpoints

  • Direct secure messaging: venkat.yedlapalli@southernmedicalassociates.ssdirect.aprima.com
  • Direct secure messaging: schowdariyedlapalli457363@direct.sw.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1902842172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 PRESTON RD",
            "address_2": "SUITE 108",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349487",
            "telephone_number": "214-843-4623",
            "fax_number": "214-436-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 PRESTON RD",
            "address_2": "SUITE 108",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349487",
            "telephone_number": "214-843-4623",
            "fax_number": "214-436-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEDLAPALLI",
        "first_name": "SRI",
        "middle_name": "VENKATESWARA CH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MS",
            "license": "18470",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N4861",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4861",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "N4861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07559846",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.