Active NPI
Poornima Jayaramaiah, MD
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 036-120847
- Practice address
- 1118 W Legacy Pointe Dr
Springfield, IL 62711-6444 - Phone
- (217) 787-8870
- Fax
- (217) 787-6158
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036-120847 | IL | Primary |
Addresses
Primary practice location
1118 W Legacy Pointe Dr
Springfield, IL 62711-6444
Mailing address
1118 W Legacy Pointe Dr
Springfield, IL 62711-6444
Phone (217) 787-8870
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pjayaramaiah104712@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1118 W Legacy Pointe Dr
Springfield, IL 62711-6444
Phone (217) 787-8870
176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 391-8730
1836 S Macarthur Blvd
Springfield, IL 62704-4030
Phone (217) 789-1403
1900 E Lake Shore Dr
Suite 330
Decatur, IL 62521-3848
Phone (217) 423-2889
4965 E Lost Bridge Rd
Decatur, IL 62521-5139
Phone (217) 864-5531
Hospital & facility affiliations
- St Johns Hospital
- Jacksonville Memorial Hospital
- Pana Community Hospital
- St Marys Hospital
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-120847 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
2501 Chatham Rd
Ste 300
Springfield, IL 62704
Phone (217) 787-8870
3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321
1118 W Legacy Pointe Dr
Springfield, IL 62711
Phone (217) 528-3233
Interoperability endpoints
- pjayaramaiah104712@ewd.direct.hshs.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1912330317
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1174784086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 W LEGACY POINTE DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627116444",
"telephone_number": "217-787-8870",
"fax_number": "217-787-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 W LEGACY POINTE DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627116444",
"telephone_number": "217-787-8870",
"fax_number": "217-787-6158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAMAIAH",
"first_name": "POORNIMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036-120847",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pjayaramaiah104712@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1118 W Legacy Pointe Dr",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627116444",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.
- 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.