Individual provider Active NPI

Jayasree Kailasam, M.D

  • Internal Medicine Physician
  • McKinney, TX
National Provider Identifier
1114983061
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6031 Issued in TX
Practice address
1400 N Coit Rd Ste 2502
McKinney, TX 75071-6664
Phone
(972) 295-9000
Fax
(713) 526-6369
NPI assigned
Apr 20, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K6031 TX Primary

Addresses

Primary practice location

1400 N Coit Rd Ste 2502
McKinney, TX 75071-6664

Mailing address

1400 N Coit Rd Ste 2502
McKinney, TX 75071-6664
Phone (972) 295-9000

Other names 1

  • Dr. Jayasree Thyagarajan Former name

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
I20050608000533 TX Practitioner - Internal Medicine 2264475425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deepa Chintala MD PAGroup PAC ID 1759654114, 3 clinicians

Practice addresses (Care Compare)

1400 N Coit Rd
Suite 2502
McKinney, TX 75071-6664
Phone (708) 540-2111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6031TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deepa Chintala, M.D., P.a. Internal Medicine CurrentSince Jun 17, 2024 Accepting new patients
Ninan T. Mathew, M.D., P.a. Internal Medicine Past Accepting new patients

Locations

5520 Independence Pkwy
Ste 201
Frisco, TX 75035
Phone (972) 295-9000

1400 N Coit Rd
Ste 2502
McKinney, TX 75071
Phone (708) 540-2111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGAICD/Endpoint/AGAICD

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1114983061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 2502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716664",
            "telephone_number": "972-295-9000",
            "fax_number": "713-526-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 2502",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716664",
            "telephone_number": "972-295-9000",
            "fax_number": "713-526-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILASAM",
        "first_name": "JAYASREE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYASREE",
            "last_name": "THYAGARAJAN",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.