Jaya Prasad Shanmugam, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

04-43900 Issued in KS

Practice address

3400 E Frank Phillips Blvd Ste 301
Bartlesville, OK 74006-2439

Phone

(918) 582-6800

Fax

(918) 582-6060

NPI assigned

Sep 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Orthopedic Surgery

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Center PCGroup PAC ID 8123915626, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Bartlesville, OK, CCN 377180
• Ascension at Home Home health agency, Bartlesville, OK, CCN 377272
• Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018

Merit-based Incentive Payment System (MIPS)

Final score

89.83 of 100Reported as group

Quality

82.73

Promoting interoperability

100

Improvement activities

40

Cost

83.38

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Orthopaedic Center, PC

  dba The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1639115116

  Pediatric Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Orthopaedic Center, PC

  dba The Orthopaedic Center Bartlesville

  • Durable Medical Equipment & Medical Supplies
  • Bartlesville, OK
  • NPI 1639917032

  Pediatric Orthopaedic Surgery

  NPD
• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Oklahoma, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Bartlesville, OK
  • NPI 1598723140
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Bartlesville, OK
  • NPI 1215914254
  Care Compare affiliation
• Jane Phillips Memorial Medical Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Bartlesville, OK
  • NPI 1427428986
  Care Compare affiliation
• Jane Phillips Regional Home Care, LLC.

  dba Ascension at Home

  • Home Health Agency
  • Bartlesville, OK
  • NPI 1750425104
  Care Compare affiliation

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1013466598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361208",
            "telephone_number": "918-582-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FRANK PHILLIPS BLVD STE 301",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062439",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "Department of orthopaedics",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-2223",
            "fax_number": "319-353-6754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Watson St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pratt",
            "state": "KS",
            "postal_code": "671243092",
            "country_code": "US",
            "telephone_number": "620-672-1002",
            "fax_number": "620-450-1741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1206 W Frontview St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678012095",
            "country_code": "US",
            "telephone_number": "620-225-7744",
            "fax_number": "620-225-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Commodore St",
            "address_purpose": "LOCATION",
            "city": "Pratt",
            "state": "KS",
            "postal_code": "671242903",
            "country_code": "US",
            "telephone_number": "620-672-7451",
            "fax_number": "620-672-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANMUGAM",
        "first_name": "JAYA",
        "middle_name": "PRASAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "LA",
            "license": "310210",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "IA",
            "license": "R-10460",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KS",
            "license": "04-43900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaya.shanmugam.2@14930.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1206 W Frontview St Ste 203",
            "city": "Dodge City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678012095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaya.shanmugam.1@14930.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "203 Watson St Ste 300",
            "city": "Pratt",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671243092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Semcresac PLLC
• Kristin Shawn Sentel-McGill, OT
• David I Settle, P.T.
• Deanna Lynn Severson, MS, CCCSLP
• Brian Charles Shane, DC
• Kerry Lynn Shaw, CARE COORDINATOR
• Keith Leroy Sheffield, M.DIV., M.S., L.P.C.
• Elizabeth R Sherrock, M.D.
• Kelly Shipley, AG-ACNP, FNP, CNRN
• Janice C Shippy, ARNP

• Sports Medicine (Orthopaedic Surgery) Physician in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.