Individual provider Active NPI

Umamahesh Yellamraju, M.D.

  • Internal Medicine Physician
  • Athens, OH
National Provider Identifier
1982607925
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-074414 Issued in OH
Practice address
75 Hospital Dr
Suite 350
Athens, OH 45701-2857
Phone
(740) 592-4491
Fax
(749) 592-4844
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 35-074414 OH Primary

Addresses

Primary practice location

75 Hospital Dr
Suite 350
Athens, OH 45701-2857

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Phone (614) 544-6155

Other identifiers 2

IdentifierTypeStateIssuer
YE0855924OtherMEDICARE PROVIDER NUMBER
2080895MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address uyellamraju171366@direct.ohiohealth.com OhioHealth Physician Group

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
I20050422000393 OH Practitioner - Internal Medicine 3274571963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

75 Hospital Dr
Suite 350
Athens, OH 45701-2867
Phone (740) 592-4491

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-074414OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Sheltering Arms Hospital Foundation, Inc. CurrentSince Jul 1, 2006 Accepting new patients
Ohiohealth Corporation CurrentSince Feb 1, 2020 Accepting new patients
Athens Medical Associates, LLC Past Accepting new patients

Locations

75 Hospital Dr
Ste 350
Athens, OH 45701
Phone (740) 566-4720

26 Hospital Dr
Fl 1
Athens, OH 45701
Phone (740) 331-7160

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

Organizations & group practices 4

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

Hospital & facility affiliations 9

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1982607925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR",
            "address_2": "SUITE 350",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012857",
            "telephone_number": "740-592-4491",
            "fax_number": "749-592-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLAMRAJU",
        "first_name": "UMAMAHESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-01-25",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-074414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "YE0855924",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080895",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uyellamraju171366@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "26 Hospital Dr",
            "address_2": "1st Fl",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.