Anupam Jayaram, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

144949 Issued in CA

Practice address

1225 Crane St
Suite 200
Menlo Park, CA 94025-4257

Phone

(650) 324-0056

Fax

(650) 324-1156

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

Loyola University of Chicago, Stritch School of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ellevatemd

  • Ophthalmology Physician
  • Atherton, CA
  • NPI 1245930049
  Medicare reassignment NPD Authorized official
• Midpeninsula Ophthalmology Medical Group Inc

  • Ophthalmology Physician
  • Menlo Park, CA
  • NPI 1861558157
  Medicare reassignment NPD

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1174803944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST",
            "address_2": "SUITE 200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254257",
            "telephone_number": "650-324-0056",
            "fax_number": "650-324-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST",
            "address_2": "SUITE 200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254257",
            "telephone_number": "650-324-0056",
            "fax_number": "650-324-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAM",
        "first_name": "ANUPAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "144949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jamison, MA, ATC
• January Clinic, P.a.
• Renata Jarosz, D.O., MS
• Jeffrey Stephen Javerbaum, M.D.
• Jay Gu and Lucy Hua, DDS Inc.
• Linda Jenks
• Sunsup Jeong
• Jessie V. Vallee, DDS Inc.
• Jia Yu Wang
• Xinyi Jiang, DMD

• Ophthalmic Plastic and Reconstructive Surgery Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.

Verify at the official NPI Registry.