Jayasri Indaram, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

193883 Issued in NY

Practice address

9709 101St Ave
Ozone Park, NY 11416-2523

Phone

(718) 641-5555

Fax

(718) 641-6677

NPI assigned

Jul 29, 2005

Last updated

Dec 5, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: jayasri.indaram@ehi.direct-ci.com

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1255331302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CARRIAGE DR",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115681323",
            "telephone_number": "516-655-3327",
            "fax_number": "516-801-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162523",
            "telephone_number": "718-641-5555",
            "fax_number": "718-641-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDARAM",
        "first_name": "JAYASRI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "193883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01528252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adiba Humyra
• Mujjahid Huq, RPH
• Nadia Ibrahim
• Immediate Imaging, PC
• Charity Incognito
• Laura Marie Ingenito, M.A., CCC-SLP
• Interfaith Medical Center
• Ngozi Ezinne Inwelegbu
• Sadat Iqbal, LMSW
• Irene Sofia Therapy LCSW PC

• Allergy & Immunology Physician in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.