Individual provider Active NPI

Mercy Jayakumar

  • Contractor
  • Indianapolis, IN
National Provider Identifier
1144521832
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
031488-1 Issued in NY
Practice address
5980 W 71St St Ste 102
Indianapolis, IN 46278-1785
Phone
(317) 388-0800
Fax
(317) 388-0805
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 031488-1 NY Primary

Addresses

Primary practice location

5980 W 71St St Ste 102
Indianapolis, IN 46278-1785

Mailing address

5980 W 71St St Ste 102
Indianapolis, IN 46278-1785
Phone (317) 388-0800

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3825 Valleyway Rd
Cumming, GA 30040-1850

PO Box
Suite 290609
Nashville, TN 37229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
031488-1NYMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Therapeutics Physical Therapy PLLC PastSince Jun 15, 2012 Accepting new patients
Healing Therapeutics Physical Therapy Part a, PLLC Past Accepting new patients
Access Therapies,Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1144521832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 W 71ST ST STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781785",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 W 71ST ST STE 102",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781785",
            "telephone_number": "317-388-0800",
            "fax_number": "317-388-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKUMAR",
        "first_name": "MERCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "031488-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.