BOSE YALAMANCHI MD PA
NPI 1942489158
Specialist in Coral Springs, FL

Active since October 24, 2007
11334 WILES RD, CORAL SPRINGS, FL 33076(954) 344-4555(954) 344-4554 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bose Yalamanchi Md Pa NPPES

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

BOSE YALAMANCHI MD PA (NPI 1942489158) is a healthcare organization registered as a specialist in Coral Springs, Florida and active in the NPI registry since October 2007. The organization lists Bose Yalamanchi, Owner / Md, as its authorized official.

NPPES Registry Identity

NPI1942489158
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBOSE YALAMANCHI MD PA
Location Address11334 WILES RDCoral Springs, FL 33076-2114
Mailing Address11334 Wiles RdCoral Springs, FL 33076-2114 · (954) 344-4555 · Fax (954) 344-4554
Fax(954) 344-4554
Organization SubpartNo
Authorized OfficialBose YalamanchiOwner / Md · (954) 344-4555
Enumeration DateOctober 24, 2007
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1942489158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11334 WILES RD, Coral Springs, FL 33076

Other Identifiers 1

Medicaid049469100FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bose Yalamanchi Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20080412000099Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bose Yalamanchi MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1194700476
11334 WILES RD
Coral Springs, FL 33076
(954) 344-4555
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bose Yalamanchi MD PA's NPI number?

The NPI number for Bose Yalamanchi MD PA is 1942489158. It was assigned to this organization in the NPPES registry on October 24, 2007.

Where is Bose Yalamanchi MD PA located?

Bose Yalamanchi MD PA is located at 11334 Wiles Rd, Coral Springs, FL 33076. The listed phone number is (954) 344-4555.

What is Bose Yalamanchi MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bose Yalamanchi MD PA enrolled in Medicare?

Yes. Bose Yalamanchi MD PA is registered in the Medicare PECOS enrollment system.

When is Bose Yalamanchi MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bose Yalamanchi MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Bose Yalamanchi MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bose Yalamanchi MD PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Bose Yalamanchi MD PA 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 Bose Yalamanchi MD PA was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.