NPIMap

Individual provider Active NPI

Dhiraj Jeyanandarajan, M.D.

  • Neurology Physician
  • Irvine, CA
National Provider Identifier
1154547719
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A91259 Issued in CA
Practice address
7545 Irvine Center Dr
200
Irvine, CA 92618-2932
Phone
(805) 928-1731
Fax
(805) 349-8160
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A91259 CA Primary
Neurology Physician 2084N0400X 45960 CT

Addresses

Primary practice location

7545 Irvine Center Dr
200
Irvine, CA 92618-2932

Mailing address

11121 Sun Center Dr
Ste G
Rancho Cordova, CA 95670-6199
Phone (916) 631-0112

Other identifiers 1

IdentifierTypeStateIssuer
00A912590OtherCABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR, CT, TN, GA5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20081231000524 CA Practitioner - Neurology 4486716388 Reassigns benefits to 4 organizations
I20110328000870 OR Practitioner - Neurology 4486716388 Reassigns benefits to 1 organization
I20150708000125 CT Practitioner - Neurology 4486716388 Practice locations: Danbury, CT; Norwalk, CT
I20150730013113 TN Practitioner - Neurology 4486716388 Practice locations: Memphis, TN
I20201118000692 GA Practitioner - Neurology 4486716388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Neuromonitoring CorporationGroup PAC ID 0042493066, 2 clinicians

Practice addresses (Care Compare)

111 Woodmere Rd
Suite 150
Folsom, CA 95630-4751
Phone 9166310112533

942 Windemere Dr NW
Salem, OR 97304-2722
Phone (916) 631-0112

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
87.5
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91259CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Read, P.C. Past Accepting new patients
Neuralview Medical Group PC PastSince Dec 1, 2015 Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1154547719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 SUN CENTER DR",
            "address_2": "STE G",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706199",
            "telephone_number": "916-631-0112",
            "fax_number": "916-631-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 IRVINE CENTER DR",
            "address_2": "200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182932",
            "telephone_number": "805-928-1731",
            "fax_number": "805-349-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEYANANDARAJAN",
        "first_name": "DHIRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A91259",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "45960",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00A912590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.