Individual provider Active NPI

Jayaprakash Narayana, MD

  • Family Medicine Physician
  • Kaufman, TX
National Provider Identifier
1003836271
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J6617 Issued in TX
Practice address
101 N Houston St
Kaufman, TX 75142-1950
Phone
(972) 932-7001
Fax
(972) 932-7007
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J6617 TX Primary

Addresses

Primary practice location

101 N Houston St
Kaufman, TX 75142-1950

Mailing address

4500 Wesley St
Greenville, TX 75401-5644
Phone (903) 454-3025

Other identifiers 5

IdentifierTypeStateIssuer
035133003MedicaidTX
035133004MedicaidTX
035133001MedicaidTX
035133002MedicaidTX
035133005MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808000573 TX Practitioner - Family PracticePractitioner - Internal Medicine 6901835248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Family Medical Clinic Family Medicine PastSince Mar 3, 2010 Accepting new patients
Community Health Service Agency, Inc. Past Accepting new patients
North Texas Inpatient and Geriatric Associates PA Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Family Medicine Past Accepting new patients
Community Health Service Agency, Inc. Family Medicine Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1003836271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015644",
            "telephone_number": "903-454-3025",
            "fax_number": "903-450-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N HOUSTON ST",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421950",
            "telephone_number": "972-932-7001",
            "fax_number": "972-932-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYANA",
        "first_name": "JAYAPRAKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J6617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035133003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035133004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035133001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035133002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035133005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

Verify at the official NPI Registry.