DR. SARAT YALAMANCHILI (NPI# 1194722942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194722942 |
| Entity Type | Individual |
| Full Name | DR. SARAT YALAMANCHILI |
| Credential | M.D. |
| Practice Address |
1521 N Convent St Ste 101 Bourbonnais IL 60914-1469 |
| Practice Telephone | 8159374500 |
| Practice Fax Number | 8159374777 |
| Mailing Telephone | 8159374500 |
| Mailing Fax Number | 8159374777 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-07-23 |
| NPI Deactivation Date | 03/21/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-094568 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00763066 | 01 |
| IL | BCBS | 4632101 | 01 |
| IL | 036094568 | 05 |
| Street Address |
1521 N CONVENT ST STE 101 |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245245026 | Sarat Yalamanchili, Md, Sc | Internal Medicine | 1521 N Convent St Ste 101, Bourbonnais, IL 60914-1469 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194040006 | Hakeem I. Jibawi | Internal Medicine | 100 Provena Way Ste C, Bourbonnais, IL 60914-4798 | 2010-04-02 |
| 1427222884 | Wuraola Ibiyemi Omotosho | Internal Medicine | 656 N Convent, #c, Bourbonnais, IL 60914-0000 | 2008-04-16 |
| 1619924248 | Salil R Vasanwala | Internal Medicine | 19 Heritage Dr, Ste104, Bourbonnais, IL 60914-1369 | 2006-05-28 |
| 1437110970 | Asima K Hussaini | Internal Medicine | 400 Riverside Dr Ste 2800, Bourbonnais, IL 60914-5004 | 2006-03-31 |
| 1134107170 | Dharam R Anand | Internal Medicine | 100 Provena Way Ste D, Bourbonnais, IL 60914 | 2006-01-09 |
| 1861770679 | Syeda Farheen Ali | Internal Medicine | 400 Riverside Dr, 2100, Bourbonnais, IL 60914-5004 | 2011-07-27 |
| 1710120696 | Alliance Internal Medicine, S.c. | Internal Medicine | 370 Larry Power Rd, Suite 2, Bourbonnais, IL 60914 | 2009-04-08 |
| 1154520112 | Keith A. Moss, M.d., Sc | Internal Medicine | 300 Riverside Dr, Suite 2400, Bourbonnais, IL 60914-4996 | 2007-07-11 |
| 1417159385 | American Medical Group,ltd | Internal Medicine | 1521 N Convent St, Bourbonnais, IL 60914-1468 | 2007-06-04 |
| 1457570061 | Dr.vasanwala LLC | Internal Medicine | 19 Heritage Dr, Ste104, Bourbonnais, IL 60914-1369 | 2007-04-24 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.