Jaya Kanniakonil George-Abraham, MD

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

N3665 Issued in TX

Practice address

6811 Austin Center Blvd Ste 400
Austin, TX 78731-3157

Phone

(512) 628-1840

Fax

(512) 628-1841

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaya.george-abraham.1@8363.direct.athenahealth.com

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.

• Dell Children'S Medical Group

  • Pediatrics Physician
  • Austin, TX
  • NPI 1326072943

  Clinical Genetics (M.D.)

  Medicare reassignment NPD
• Dell Children'S Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1124748249
  NPD

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1063616621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313157",
            "telephone_number": "512-628-1840",
            "fax_number": "512-628-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313157",
            "telephone_number": "512-628-1840",
            "fax_number": "512-628-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE-ABRAHAM",
        "first_name": "JAYA",
        "middle_name": "KANNIAKONIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "TX",
            "license": "N3665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288021301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George J. Shia, D.D.S., Inc.
• George M. Blackburn Jr. D.M.D.
• George Mental Health Services PLLC
• Anil George Palakkal, LPC-ASSOCIATE
• George R Robison MD PA
• Asha Elis George, MC, LPC
• Carole L George, MSN, BC-ACNS, CDE
• Constance Elaine George, M.D.
• Heather Christine George, RN
• Jobi George

• Clinical Genetics (M.D.) Physician in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Genetics (M.D.) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.