Organization Active NPI

Bose Yalamanchi MD PA

  • Specialist
  • Coral Springs, FL
National Provider Identifier
1942489158
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BOSE YALAMANCHI MD PA
Practice address
11334 Wiles Rd
Coral Springs, FL 33076-2114
Phone
(954) 344-4555
Fax
(954) 344-4554
NPI assigned
Oct 24, 2007
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dr. Bose Yalamanchi, MDNPI 1194700476
Title
Owner / MD
Phone
(954) 344-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

11334 Wiles Rd
Coral Springs, FL 33076-2114

Mailing address

11334 Wiles Rd
Coral Springs, FL 33076-2114
Phone (954) 344-4555

Other identifiers 1

IdentifierTypeStateIssuer
049469100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080412000099 FL Part B Supplier - Clinic/Group Practice 0749367944 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Springs, FL

National Provider Directory

National Provider Directory

Locations

11334 Wiles Rd
Coral Springs, FL 33076
Phone (954) 344-4555

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1942489158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11334 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762114",
            "telephone_number": "954-344-4555",
            "fax_number": "954-344-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11334 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762114",
            "telephone_number": "954-344-4555",
            "fax_number": "954-344-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSE YALAMANCHI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHI",
        "authorized_official_first_name": "BOSE",
        "authorized_official_title_or_position": "OWNER / MD",
        "authorized_official_telephone_number": "954-344-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049469100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.