DR. GAUTAM YADLA MD
NPI 1295396539
Internal Medicine - Nephrology in Opelika, AL

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment
121 N 20TH ST STE 20A, OPELIKA, AL 36801(334) 749-6423 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Jul 18, 2024 (2 updates tracked since 2024).

About Dr. Gautam Yadla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAUTAM YADLA MD (NPI 1295396539) is an individual nephrology provider in Opelika, Alabama, licensed in Alabama (MD.48142) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295396539
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. GAUTAM YADLACredential: MD
Location Address121 N 20TH ST STE 20AOpelika, AL 36801-5456
Mailing Address121 N 20th St Ste 20aOpelika, AL 36801-5456 · (334) 749-6423
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 26, 2019
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1295396539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in AL · MD.48142
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
121 N 20TH ST STE 20A, Opelika, AL 36801

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gautam Yadla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901293901
PECOS Enrollment IDI20240819000888
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
85 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services24 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
44 services20 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
26 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
121 N 20TH ST STE 20A
OPELIKA, AL 36801
Internal Medicine (Nephrology)
121 N 20TH ST STE 20A
OPELIKA, AL 36801
Internal Medicine (Nephrology)
121 N 20TH ST STE 20A
OPELIKA, AL 36801
Nurse Practitioner
121 N 20TH ST STE 20A
OPELIKA, AL 36801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gautam Yadla's NPI number?

The NPI number for Gautam Yadla is 1295396539. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Gautam Yadla located?

Gautam Yadla practices at 121 N 20th St Ste 20A, Opelika, AL 36801. The listed phone number is (334) 749-6423.

What is Gautam Yadla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gautam Yadla enrolled in Medicare?

Yes. Gautam Yadla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gautam Yadla accept?

Health plans from Blue Cross and Blue Shield of Alabama list Gautam Yadla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gautam Yadla was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.