Jamuna Reddy Garisa, M.D.,

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

125.066527 Issued in IL

Practice address

1926 W Harrison St
Chicago, IL 60612-3737

Phone

(312) 391-3443

NPI assigned

May 4, 2016

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS, WV2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamuna.garisa.1@29904.direct.athenahealth.com
• FHIR API: https://fhir.yourcareuniverse.net/tenant/0c0c63aa-c0e5-4256-b638-969087e4db15
• Direct secure messaging: nwmjgaris@yourcarecommunity.org

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.

• Highland Community Hospital Physicians

  • Obstetrics & Gynecology Physician
  • Picayune, MS
  • NPI 1275887499
  Medicare reassignment NPD
• Northwest Miss Regional Medical Center

  • Internal Medicine Physician
  • Clarksdale, MS
  • NPI 1598458515

  Pediatrics

  Medicare reassignment NPD
• Raleigh General Hospital LLC

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1114475746
  Medicare reassignment NPD
• Northwest Miss Regional Medical Center

  • Emergency Medicine Physician
  • Clarksdale, MS
  • NPI 1699468686
  NPD
• Raleigh General Hospital LLC

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1245695212
  NPD
• Aaron E Henry Community Health

  • Federally Qualified Health Center (FQHC)
  • Clarksdale, MS
  • NPI 1063756716
  NPD (past)
• Aaron E. Henry Community Health Services Center, Inc

  • Pediatrics Physician
  • Clarksdale, MS
  • NPI 1134868672
  NPD (past)
• Childrens Clinic of Clarksdale PA

  • Pediatrics Physician
  • Clarksdale, MS
  • NPI 1497834030
  NPD (past)
• Northwest Miss Regional Medical Center

  • General Acute Care Hospital
  • Clarksdale, MS
  • NPI 1275217606
  NPD (past)

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1124474598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123737",
            "telephone_number": "312-391-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123737",
            "telephone_number": "312-391-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARISA",
        "first_name": "JAMUNA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.066527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwmjgaris@yourcarecommunity.org",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1970 Hospital Dr",
            "city": "Clarksdale",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386147202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam D Garibay, MD
• Richard Garibay, PHARMD.
• Alyanna Garilao
• Mia C Garino
• Natalie Helen Garino, APRN, CNP
• Kathryn Garity
• Miglena Garkova, FNP
• Garland Dental Associates, LTD.
• Israel Garland, CRNA
• Katrina Dee Garland, PSY.D.

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.