NPIMap

Individual provider Active NPI

Jayakrishnakamal Konijeti, MD

  • Nephrology Physician
  • New Albany, IN
National Provider Identifier
1295739076
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
38355 Issued in KY
Practice address
4101 Technology Ave
New Albany, IN 47150-8548
Phone
(812) 941-4500
NPI assigned
Jun 9, 2005
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 38355 KY Primary
Nephrology Physician 207RN0300X 01053730A IN

Addresses

Primary practice location

4101 Technology Ave
New Albany, IN 47150-8548

Mailing address

4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500

Other practice location 1

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205-3340
Phone (502) 587-9660 ext. 272

Other practice location 2

3991 Dutchmans Ln Ste 4A
Louisville, KY 40207-4700
Phone (502) 365-2655

Other practice location 3

727 Mount Tabor Rd
New Albany, IN 47150-6951
Phone (812) 981-3111

Other practice location 4

3999 Dutchmans Ln Ste 4A
Louisville, KY 40207-4745
Phone (502) 365-2655

Other identifiers 4

IdentifierTypeStateIssuer
000000341492OtherKYANTHEM
64075005MedicaidKY
200469740AMedicaidIN
50004665OtherKYPASSPORT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jayakrishnakamal.konijetimd.p68@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031222000790 IN Practitioner - NephrologyPractitioner - Internal Medicine 0547168007 Reassigns benefits to 2 organizations
I20040204000423 KY Practitioner - NephrologyPractitioner - Internal Medicine 0547168007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2300 Market St
Charlestown, IN 47111-9810
Phone (812) 256-1106

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01053730AINMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Sep 14, 2020 Accepting new patients
American Health Network of Kentucky, LLC Nephrology CurrentSince May 3, 2021 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Sep 14, 2020 Accepting new patients

Locations

2300 Market St
Charlestown, IN 47111
Phone (812) 256-1106

1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500

727 Mount Tabor Rd
Ste A
New Albany, IN 47150
Phone (812) 945-2717

1850 Bluegrass Ave
Louisville, KY 40215
Phone (502) 361-6617

3900 Kresge Way
Ste 44
Louisville, KY 40207
Phone (502) 897-6700

Interoperability endpoints

  • Direct secure messaging: jayakrishnakamal.konijetimd.p68@direct.ahni.nextgenshare.com
  • Direct secure messaging: jkonijeti211587@direct.optum.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1295739076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TECHNOLOGY AVE",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508548",
            "telephone_number": "812-941-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6400 Dutchmans Pkwy",
            "address_2": "Ste 250",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053340",
            "country_code": "US",
            "telephone_number": "502-587-9660 x272",
            "fax_number": "502-540-5615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3991 Dutchmans Ln Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074700",
            "country_code": "US",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "727 Mount Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471506951",
            "country_code": "US",
            "telephone_number": "812-981-3111",
            "fax_number": "812-981-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3999 Dutchmans Ln Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074745",
            "country_code": "US",
            "telephone_number": "502-365-2655",
            "fax_number": "502-365-2770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONIJETI",
        "first_name": "JAYAKRISHNAKAMAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "38355",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01053730A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000341492",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64075005",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200469740A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50004665",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayakrishnakamal.konijetimd.p68@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4101 Technology Ave",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471508548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.