Individual provider Active NPI

Anuradha Yalamanchili, M.D

  • Internal Medicine Physician
  • Lorain, OH
National Provider Identifier
1932210218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301061994 Issued in MI
Practice address
205 W 20TH St
Lorain, OH 44052-3779
Phone
(440) 244-3833
Fax
(440) 244-3834
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301061994 MI Primary

Addresses

Primary practice location

205 W 20TH St
Lorain, OH 44052-3779

Mailing address

205 W 20TH St
Lorain, OH 44052-3779
Phone (440) 244-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130425000498 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3971782772

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932210218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 20TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523779",
            "telephone_number": "440-244-3833",
            "fax_number": "440-244-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 20TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523779",
            "telephone_number": "440-244-3833",
            "fax_number": "440-244-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHILI",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301061994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.