Individual provider Active NPI

Prasanthi Yelavarthy

  • Cardiovascular Disease Physician
  • Ann Arbor, MI
National Provider Identifier
1942620380
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301112260 Issued in MI
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
NPI assigned
Apr 24, 2014
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301112260 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone (231) 935-5800

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-6370

Other practice location 2

809 E Michigan Ave
Grayling, MI 49738-1417
Phone (989) 348-0530

Other practice location 3

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-1144

Other practice location 4

1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone (231) 935-5800

Other practice location 5

617 N Court Ave
Gaylord, MI 49735-1515
Phone (989) 731-9532

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pyelavarthy@direct.mhc.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
I20210812001161 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2163716523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

809 E Michigan Ave
Grayling, MI 49738-1417
Phone (231) 935-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Internal Medicine CurrentSince Aug 23, 2022 Accepting new patients
Munson Medical Group CurrentSince Aug 23, 2022 Accepting new patients
Munson Medical Group Cardiovascular Disease CurrentSince Aug 23, 2022 Accepting new patients
Munson Medical Center CurrentSince Aug 23, 2022 Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

2891 Momentum Pl
Chicago, IL 60689

617 N Court Ave
Gaylord, MI 49735
Phone (989) 731-9532

829 N Center Ave
Ste 110
Gaylord, MI 49735
Phone (989) 731-9532

809 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0530

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1200 Sixth St
Ste 200
Traverse City, MI 49684

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

Interoperability endpoints

  • Direct secure messaging: pyelavarthy@direct.mhc.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1942620380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SIXTH ST STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842369",
            "telephone_number": "231-935-5800",
            "fax_number": "231-935-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000",
            "telephone_number": "734-936-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-6370",
            "fax_number": "231-935-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "809 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381417",
            "country_code": "US",
            "telephone_number": "989-348-0530",
            "fax_number": "989-348-2723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519624",
            "country_code": "US",
            "telephone_number": "989-366-1144",
            "fax_number": "989-366-2917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Sixth St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842369",
            "country_code": "US",
            "telephone_number": "231-935-5800",
            "fax_number": "231-935-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 N Court Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351515",
            "country_code": "US",
            "telephone_number": "989-731-9532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YELAVARTHY",
        "first_name": "PRASANTHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301112260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pyelavarthy@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1200 Sixth St Ste 200",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.