Individual provider Active NPI

Venkata Yalamanchili, M.D

  • Nephrology Physician
  • Desoto, TX
National Provider Identifier
1972777852
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P4272 Issued in TX
Practice address
2651 Bolton Boone Dr
Desoto, TX 75115-2011
Phone
(214) 358-2300
Fax
(214) 366-6127
NPI assigned
Apr 22, 2008
Last updated
May 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301087404 MI
Nephrology Physician 207RN0300X P4272 TX Primary

Addresses

Primary practice location

2651 Bolton Boone Dr
Desoto, TX 75115-2011

Mailing address

1420 Viceroy Dr
Dallas, TX 75235-2208
Phone (214) 358-2300

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
I20130830000591 TX Practitioner - Nephrology 9830242866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

1150 N Bishop Ave
Suite 200
Dallas, TX 75208-4168
Phone (972) 423-0637

1250 8TH Ave
Suite 135
Fort Worth, TX 76104-4156
Phone (214) 358-2300

1414 W Wheatland Rd
Suite 100
Duncanville, TX 75116-4249
Phone (972) 709-1950

1625 N Story Rd
Suite 140
Irving, TX 75061-1954
Phone (972) 871-8282

2500 W Pleasant Run Rd
Lancaster, TX 75146-1170
Phone (972) 252-1656

2651 Bolton Boone Dr
Desoto, TX 75115-2011
Phone (214) 358-2300

3400 Interstate Hwy 30
Suite 220
Mesquite, TX 75150-2601
Phone (214) 358-2300

3500 W Wheatland Rd
Methodist Charlton Medical Center
Dallas, TX 75237-3460
Phone (214) 947-7777

4111 W Camp Wisdom Rd
Dallas, TX 75237-2422
Phone (972) 709-0212

4510 Medical Ctr Dr
Suite 305B
McKinney, TX 75069
Phone (214) 358-2300

900 N Polk St
Suite 146
Desoto, TX 75115-4017
Phone (972) 228-8780

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087404MIMDInternal Medicine Physician
P4272TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Nov 22, 2016 Accepting new patients

Locations

3400 Corinth Pkwy
Ste 140
Corinth, TX 76208
Phone (940) 228-3724

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1420 Viceroy Dr
Dallas, TX 75235

2620 Scripture St
Denton, TX 76201
Phone (940) 297-6500

2651 Bolton Boone Dr
Desoto, TX 75115

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: venkatayalamanchili@dneph.allscriptsdirect.net
  • Direct secure messaging: vyalamanchili52329@direct.acumenmd.com

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": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1972777852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 VICEROY DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752352208",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 BOLTON BOONE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152011",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALAMANCHILI",
        "first_name": "VENKATA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087404",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.