Individual provider Active NPI

Rayudu Jujjavarapu, M D

  • Surgery Physician
  • Killeen, TX
National Provider Identifier
1104891332
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101043718 Issued in VA
Practice address
2207 Clear Creek Rd Ste 203
Killeen, TX 76549-4133
Phone
(254) 519-8901
NPI assigned
Feb 21, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101043718 VA Primary

Addresses

Primary practice location

2207 Clear Creek Rd Ste 203
Killeen, TX 76549-4133

Mailing address

PO Box 1819
Lampasas, TX 76550-0015
Phone (512) 556-3621

Other practice location 1

930 South Ave
Suite 4 a
Colonial Heights, VA 23834-3621
Phone (804) 524-2294

Other identifiers 2

IdentifierTypeStateIssuer
007305826MedicaidVA
110950OtherVAANTHEM BCBS

Other names 1

  • Dr. Jujjavarapu Rayudu Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAYUDU.JUJJAVARAPU@hca6.eclinicaldirectplus.com

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
I20241021003344 TX Practitioner - General Surgery 8527122340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metroplex Clinic Physicians IncGroup PAC ID 9537183124, 12 clinicians

Practice addresses (Care Compare)

2201 Clear Creek Rd
Killeen, TX 76549-4110
Phone (254) 519-8912

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.71 of 100Reported as group
Quality
73.52
Promoting interoperability
99
Improvement activities
40
Cost
75.29

Merit-based Incentive Payment System (MIPS)

Final score
85.04 of 100Reported as group
Quality
76.6
Promoting interoperability
100
Improvement activities
40
Cost
73.53

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Clinic Physicians, Inc. CurrentSince Sep 9, 2024 Accepting new patients
John Randolph Surgeons LLC Surgery Past Accepting new patients

Locations

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

2207 Clear Creek Rd
Ste 203
Killeen, TX 76549
Phone (254) 519-1117

2207 Clear Creek Rd
Ste 303
Killeen, TX 76549
Phone (254) 519-8921

Interoperability endpoints

  • Direct secure messaging: rayudu.jujjavarapu@hca6.eclinicaldirectplus.com
  • Direct secure messaging: rjujjavarapu3897415@adventhealth.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1104891332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765500015",
            "telephone_number": "512-556-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 CLEAR CREEK RD STE 203",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494133",
            "telephone_number": "254-519-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 South Ave",
            "address_2": "SUITE 4 A",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238343621",
            "country_code": "US",
            "telephone_number": "804-524-2294",
            "fax_number": "804-524-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUJJAVARAPU",
        "first_name": "RAYUDU",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101043718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007305826",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "110950",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAYUDU.JUJJAVARAPU@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "930 South Ave",
            "address_2": "SUITE 4 A",
            "city": "Colonial Heights",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238343621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUJJAVARAPU",
            "last_name": "RAYUDU",
            "prefix": "DR.",
            "credential": "M D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.