Active NPI
Jayalakshmi Murugaian, MD
- Family Medicine Physician
- Waterloo, IA
National Provider Identifier
1215915483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33699
- Practice address
- 1753 W Ridgeway Ave
Suite 102
Waterloo, IA 50701-4544 - Phone
- (319) 833-5888
- Fax
- (319) 833-5891
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33699 | IA | Primary |
Addresses
Primary practice location
1753 W Ridgeway Ave
Suite 102
Waterloo, IA 50701-4544
Mailing address
1753 W Ridgeway Ave
Suite 102
Waterloo, IA 50701-4544
Phone (319) 833-5888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1173427 | Medicaid | IA | |
| 1215915483 | Medicaid | IA | |
| 080171192 | Other | IA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33699 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Memorial Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1215915483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1753 W RIDGEWAY AVE",
"address_2": "SUITE 102",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014544",
"telephone_number": "319-833-5888",
"fax_number": "319-833-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 W RIDGEWAY AVE",
"address_2": "SUITE 102",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014544",
"telephone_number": "319-833-5888",
"fax_number": "319-833-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURUGAIAN",
"first_name": "JAYALAKSHMI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "33699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1173427",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215915483",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080171192",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.