Individual provider Active NPI

Kalarikkal K Jayaraman, M.D.

  • General Practice Physician
  • Hot Springs, AR
National Provider Identifier
1124274808
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
R2234 Issued in AR
Practice address
180 Medical Park PL
Suite 102
Hot Springs, AR 71901-8065
Phone
(501) 625-3400
Fax
(501) 625-3402
NPI assigned
Aug 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X R2234 AR Primary

Addresses

Primary practice location

180 Medical Park PL
Suite 102
Hot Springs, AR 71901-8065

Mailing address

180 Medical Park PL
Suite 102
Hot Springs, AR 71901-8065
Phone (501) 625-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2234ARMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1124274808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MEDICAL PARK PL",
            "address_2": "SUITE 102",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018065",
            "telephone_number": "501-625-3400",
            "fax_number": "501-625-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MEDICAL PARK PL",
            "address_2": "SUITE 102",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018065",
            "telephone_number": "501-625-3400",
            "fax_number": "501-625-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "KALARIKKAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "R2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.