Individual provider Active NPI

Vijaya Jyothshna Bayya, M.D

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
National Provider Identifier
1124215868
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
263308 Issued in NY
Practice address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone
(718) 283-6078
Fax
(718) 283-8468
NPI assigned
Sep 26, 2007
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 263308 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Brooklyn, NY 11219-2916

Mailing address

343 Senator St FL 3
Brooklyn, NY 11220-5310
Phone (718) 483-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091002000374 NY Practitioner - Obstetrics/Gynecology 0840336939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMC OB/GYN Faculty Practice PlanGroup PAC ID 0345274809, 31 clinicians

Practice addresses (Care Compare)

6208 4TH Ave
Brooklyn, NY 11220-4616
Phone (718) 283-8225

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263308NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jan 1, 2014 Accepting new patients
Montefiore Medical Center Obstetrics & Gynecology CurrentSince Oct 15, 2009 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Montefiore Medical Center CurrentSince Oct 15, 2009 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

10033 4th Ave
Brooklyn, NY 11209
Phone (718) 283-7770

2525 Kings Hwy
Brooklyn, NY 11229
Phone (718) 692-5300

4422 9th Ave
#1
Brooklyn, NY 11220

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6208 4th Ave
Brooklyn, NY 11220
Phone (718) 283-3000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jyothshnabayya@mai.allscriptsdirect.net

Organizations & group practices 5

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1124215868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 SENATOR ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205310",
            "telephone_number": "718-483-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-6078",
            "fax_number": "718-283-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYYA",
        "first_name": "VIJAYA JYOTHSHNA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "263308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.