Physician Compare National (NPI:1902842172)

HEALTHCARE PROVIDER: SRI VENKATESWARA CH YEDLAPALLI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902842172
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406817857
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070613000747
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	YEDLAPALLI
	Individual professional last name
Provider First Name	SRI
	Individual professional first name
Provider Middle Name	VC
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	BAY PRAIRIE EMERGENCY PHYSICIANS PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7719021054
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	19
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2850 E HWY 114
	Group Practice or individual's line 1 address
City	TROPHY CLUB
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	762625302
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8178374600
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450883
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BAYLOR MEDICAL CENTER AT TROPHY CLUB
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y