NPIMap

Individual provider Active NPI

Venkat Yalamanchili, M.D

  • Vascular Surgery Physician
  • Sandusky, OH
National Provider Identifier
1952692915
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35135059 Issued in OH
Practice address
703 Tyler St Ste 351
Sandusky, OH 44870-3391
Phone
(419) 621-7620
Fax
(419) 621-7623
NPI assigned
Apr 26, 2011
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57.016242 OH
Vascular Surgery Physician 2086S0129X 35135059 OH Primary

Addresses

Primary practice location

703 Tyler St Ste 351
Sandusky, OH 44870-3391

Mailing address

1031 Pierce St
Sandusky, OH 44870-4669
Phone (419) 557-5568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221013001849 CA Practitioner - Vascular Surgery 7416291844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.016242OHMDSurgery Physician
35135059OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Oct 12, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262

3551 Q St
Ste 100
Bakersfield, CA 93301
Phone (661) 327-3747

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: vyalamanchili219642@direct.metrohealth.org

Organizations & group practices 2

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 5

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1952692915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5568",
            "fax_number": "419-557-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 TYLER ST STE 351",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703391",
            "telephone_number": "419-621-7620",
            "fax_number": "419-621-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHILI",
        "first_name": "VENKAT",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57.016242",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35135059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.