Individual provider Active NPI

Vishnu P Yelamanchi, MD

  • Interventional Cardiology Physician
  • The Villages, FL
National Provider Identifier
1992788467
Registry record updated Jul 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME81426 Issued in FL
Practice address
1050 Old Camp Rd
Ste 270
The Villages, FL 32162-1762
Phone
(352) 633-1966
Fax
(352) 633-1969
NPI assigned
Nov 29, 2005
Last updated
Jul 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME81426 FL Primary
Cardiovascular Disease Physician 207RC0000X ME81426 FL

Addresses

Primary practice location

1050 Old Camp Rd
Ste 270
The Villages, FL 32162-1762

Mailing address

PO Box 2198
Lady Lake, FL 32158-2198
Phone (352) 633-1966

Other identifiers 6

IdentifierTypeStateIssuer
10724279OtherFLCAQH
260284900MedicaidFL
51757OtherFLBCBS
3820541OtherFLCIGNA
ME81426OtherFLSTATE LICENSE NUMBER
P00119597OtherFLMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031125000375 FL Practitioner - Cardiovascular Disease (Cardiology) 1850295437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiac and Vascular Consultants MD PAGroup PAC ID 0345427019, 13 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 270
The Villages, FL 32162-1762
Phone (352) 633-1966

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting58
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CVC ASC LLC Interventional Cardiology CurrentSince Aug 18, 2024 Accepting new patients
Cardiac and Vascular Consultants MD PA CurrentSince May 17, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lake Cardiovascular Diagnostic Center L.L.C Cardiovascular Disease PastSince May 17, 2011 Accepting new patients

Locations

10762 SE US Highway 441
Belleview, FL 34420
Phone (352) 346-5225

510 Highway 466
Ste 105
Lady Lake, FL 32159
Phone (352) 633-7502

4224 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 513-3482

709 Physicians Ct
Leesburg, FL 34748
Phone (352) 728-2999

11674 Milton Ln
Oxford, FL 34484
Phone (352) 633-5016

17190 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 268-0003

1050 Old Camp Rd
The Villages, FL 32162
Phone (352) 606-4708

1050 Old Camp Rd
Ste 206
The Villages, FL 32162
Phone (352) 353-0092

1050 Old Camp Rd
Ste 270
The Villages, FL 32162
Phone (352) 552-4648

4056 E State Road 44
Wildwood, FL 34785
Phone (352) 268-0003

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vishnu.yelamanchi@cvcfl.eclinicaldirectplus.com
  • Direct secure messaging: vyelamanchi563898@direct.shands.ufl.edu

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, 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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343520000000",
    "number": "1992788467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2198",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321582198",
            "telephone_number": "352-633-1966",
            "fax_number": "352-633-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OLD CAMP RD",
            "address_2": "STE 270",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321621762",
            "telephone_number": "352-633-1966",
            "fax_number": "352-633-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELAMANCHI",
        "first_name": "VISHNU",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2012-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME81426",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME81426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10724279",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260284900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51757",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3820541",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ME81426",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00119597",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.