Organization Active NPI

Jyothi Puram, M.D., Inc

  • Internal Medicine Physician
  • Springfield, OH
National Provider Identifier
1013000926
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64595 Issued in OH
Legal business name
JYOTHI PURAM, M.D., INC
Practice address
1176 E Home Rd
Springfield, OH 45503-2726
Phone
(937) 342-9861
Fax
(380) 203-1298
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Madhukar Narahari
Title
Owner
Phone
(614) 943-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 64595 OH Primary

Addresses

Primary practice location

1176 E Home Rd
Springfield, OH 45503-2726

Mailing address

1604 Lancaster Ave # B
Reynoldsburg, OH 43068-2639
Phone (614) 943-3839

Other practice location 1

2624 Lexington Ave
Suite 340
Springfield, OH 45505-2607
Phone (937) 325-5583

Other practice location 2

1604 Lancaster Ave # B
Reynoldsburg, OH 43068-2639
Phone (614) 943-3839

National Provider Directory

National Provider Directory

Locations

1604 Lancaster Ave
#B
Reynoldsburg, OH 43068
Phone (614) 943-3839

1604 Lancaster Ave
Ste B
Reynoldsburg, OH 43068

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1013000926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 LANCASTER AVE # B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682639",
            "telephone_number": "614-943-3839",
            "fax_number": "866-421-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032726",
            "telephone_number": "937-342-9861",
            "fax_number": "380-203-1298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 Lexington Ave",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455052607",
            "country_code": "US",
            "telephone_number": "937-325-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1604 Lancaster Ave # B",
            "address_purpose": "LOCATION",
            "city": "Reynoldsburg",
            "state": "OH",
            "postal_code": "430682639",
            "country_code": "US",
            "telephone_number": "614-943-3839",
            "fax_number": "866-421-8583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JYOTHI PURAM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "NARAHARI",
        "authorized_official_first_name": "MADHUKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-943-3839"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "64595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.