SUJITHA YADLAPATI (MD) – Dermatology Physician, NPI 1114372695
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for SUJITHA YADLAPATI (MD)
110 1st St S
Sauk Rapids, MN 563791404
Phone: (320) 253-5220
Type: Location
8170 33RD AVE S
MS 21110Q
BLOOMINGTON, MN 554254516
Phone: (320) 253-5220
Type: Mailing
110 1ST ST S
SAUK RAPIDS, MN 563791404
Phone: (320) 253-5220
Type: Location
1807 VERSAILLES DR
SAN JUAN, TX 785892143
Phone: (210) 803-1675
Type: Mailing
304 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO 637034920
Phone: (573) 803-3331
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-07-10 • Largest payer in this snapshot: ABBVIE INC. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $125 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-01-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200129001340 | I | Dermatology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 359 | 281 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 351 | 59 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 96 | 56 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 88 | 86 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 86 | 79 | $0 |
Insurance plans in this area (ZIP 56379)
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