Active NPI
Ashok Jayaram, M.D.
- Specialist
- Portland, OR
National Provider Identifier
1245323963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD19848
- Practice address
- 9155 SW Barnes Rd
Suite 934
Portland, OR 97225 - Phone
- (503) 292-7005
- Fax
- (503) 292-9058
- NPI assigned
- Oct 2, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD19848 | OR | Primary |
Addresses
Primary practice location
9155 SW Barnes Rd
Suite 934
Portland, OR 97225
Mailing address
9155 SW Barnes Rd
Suite 934
Portland, OR 97225
Phone (503) 292-7005
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 |
|---|---|---|---|
| MD19848 | OR | MD | Specialist |
| 19848 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management Center | Past | Accepting new patients | |
| Pain Management Facility, LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1467773663
-
- Specialist
- Portland, OR
- NPI 1932309978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245323963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD",
"address_2": "SUITE 934",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225",
"telephone_number": "503-292-7005",
"fax_number": "503-292-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD",
"address_2": "SUITE 934",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225",
"telephone_number": "503-292-7005",
"fax_number": "503-292-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAM",
"first_name": "ASHOK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD19848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.