Yalinie Medics LLC
Organization Active NPI General Practice Physician · Pineville, KY
NPI 1992964944 · NPPES record last updated Aug 30, 2022
Key facts
- NPI
- 1992964944
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 34425 (KY)
- Legal business name
- YALINIE MEDICS LLC
- Practice address
- 850 Riverview Ave
Pineville, KY 40977-1452 - Phone
- (606) 277-0224
- NPI assigned
- Jun 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Velupillai Wignakumar, MD
- Title
- General Partner
- Phone
- (606) 654-2412
Corporate family (same tax ID) 1
Practitioners 14
-
Keith A. Clifton, M.D.
-
Velupillai Wignakumar, M.D, FRCS
-
Dana Barlow, MD
-
Dorian R Matzen, D.O.
-
Benjamin Barry Mazal, M.D.
-
Brittany Bobrowski, D.O.
-
Samantha Corey, APRN
-
Rondal Goble, MD
-
Sandeep Sharma, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140506000690 | KY | Part B Supplier - Clinic/Group Practice | 5991938557 |
Receives reassigned benefits from 13 practitioners Practice locations: Barbourville, KY; Georgetown, KY |
National Provider Directory
- Tax ID family
- Yalinie Medics LLC
Locations
1158 Lexington Rd
Ste 101
Georgetown, KY 40324
217 E Park Ave
Pineville, KY 40977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 34425 | KY | |
| General Practice Physician |
208D00000X | 34425 | KY | Yes |
Addresses
Primary practice location
850 Riverview Ave
Pineville, KY 40977-1452
Mailing address
80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 545-5539
Other practice location 1
1158 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 542-9118
Other practice location 2
80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 545-5539
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65940504 | Medicaid | KY |
Other providers in Pineville, KY
- David Williams
- Willows Way Behavioral Health LLC
- Thomas John Winkler III
- Woolum and Dixon Family Dentistry
- Kerry L Woolum
- Yellow Creek Elementary School
All providers in Pineville, KY · General Practice Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.