Individual provider Active NPI

Jaya Vankayalapati, M.D.

  • Internal Medicine Physician
  • Livonia, MI
National Provider Identifier
1164447033
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
JV067807 Issued in MI
Practice address
15130 Levan Rd Ste 30
Livonia, MI 48154-5027
Phone
(734) 779-2101
Fax
(734) 779-2121
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X JV067807 MI Primary

Addresses

Primary practice location

15130 Levan Rd Ste 30
Livonia, MI 48154-5027

Mailing address

15130 Levan Rd
Ste 30
Livonia, MI 48154-5027
Phone (734) 779-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100126000576 MI Practitioner - Internal Medicine 2062554215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levan Internists PCGroup PAC ID 7911099007, 5 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

15130 Levan Rd
Suite 30
Livonia, MI 48154-5027
Phone (734) 779-2100

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JV067807MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Levan Internists PC Internal Medicine CurrentSince Apr 1, 2003 Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Oct 24, 2009 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Oct 24, 2009 Accepting new patients

Locations

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

15130 Levan Rd
Ste 30
Livonia, MI 48154
Phone (734) 779-2100

15130 Levan Rd
#30
Livonia, MI 48154

Interoperability endpoints

  • Direct secure messaging: jvankayalapati1156407@direct.hfhs.org
  • Direct secure messaging: jaya.vankayalapati@levan.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGCGCA

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1164447033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15130 LEVAN RD",
            "address_2": "STE 30",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-779-2101",
            "fax_number": "734-779-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15130 LEVAN RD STE 30",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-779-2101",
            "fax_number": "734-779-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANKAYALAPATI",
        "first_name": "JAYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JV067807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.