DR. SUDHA K YALAMANCHI M.D.
NPI 1962722553
Internal Medicine - Endocrinology, Diabetes & Metabolism in Elmhurst, IL

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
133 E BRUSH HILL RD STE 310, ELMHURST, IL 60126(331) 221-9003(331) 221-2331 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Apr 9, 2021, Sep 22, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Sudha K Yalamanchi M.d. NPPES

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

DR. SUDHA K YALAMANCHI M.D. (NPI 1962722553) is an individual endocrinology, diabetes & metabolism provider in Elmhurst, Illinois, licensed in Illinois (036121291) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1962722553
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SUDHA K YALAMANCHICredential: M.D.
Location Address133 E BRUSH HILL RD STE 310Elmhurst, IL 60126-5662
Mailing Address4201 Winfield Rd, Centralized ServicesWarrenville, IL 60555-4025
Fax(331) 221-2331
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 4, 2010
Last NPPES UpdateDecember 12, 20224 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1962722553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in IL · 036121291
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036121291 (IL)
133 E BRUSH HILL RD STE 310, Elmhurst, IL 60126

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. Sudha K Yalamanchi M.d. 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 ID648458968
PECOS Enrollment IDI20170427002640
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 7

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
6,180 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
431 services249 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
229 services105 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
204 services97 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
152 services68 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number140200
Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
29 suppliers50 claims186 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers25 claims43 services$1.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers103 claims108 services$189.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Pulmonary Disease)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Endocrinology, Diabetes & Metabolism)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Nurse Practitioner
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Pulmonary Disease)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126
Internal Medicine (Gastroenterology)
133 E BRUSH HILL RD STE 310
ELMHURST, IL 60126

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 Sudha Yalamanchi's NPI number?

The NPI number for Sudha Yalamanchi is 1962722553. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Sudha Yalamanchi located?

Sudha Yalamanchi practices at 133 E Brush Hill Rd Ste 310, Elmhurst, IL 60126. The listed phone number is (331) 221-9003.

What is Sudha Yalamanchi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sudha Yalamanchi enrolled in Medicare?

Yes. Sudha Yalamanchi 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 Sudha Yalamanchi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sudha Yalamanchi 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.

Is Sudha Yalamanchi affiliated with any hospitals?

According to CMS data, Sudha Yalamanchi is affiliated with Elmhurst Memorial Hospital and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Sudha Yalamanchi was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.