NPIMap

Individual provider Active NPI

Cham A Jayanetti, MD

  • Vascular Surgery Physician
  • South Miami, FL
National Provider Identifier
1316052228
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME96517 Issued in FL
Practice address
6200 Sunset Dr
Suite 505
South Miami, FL 33143-4828
Phone
(305) 668-1660
NPI assigned
Aug 20, 2006
Last updated
Jul 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME96517 FL Primary

Addresses

Primary practice location

6200 Sunset Dr
Suite 505
South Miami, FL 33143-4828

Mailing address

6200 Sunset Dr
Suite 505
South Miami, FL 33143-4828
Phone (305) 668-1660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061114000513 FL Practitioner - Vascular Surgery 3779581368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Eastern Virginia Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6200 Sunset Dr
Suite 505
South Miami, FL 33143-4830
Phone (305) 668-1660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.78 of 100Reported as individual
Quality
89.14
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal33
Leg revascularization (restoring blood flow)1-10
Removal of tissue59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96517FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Riviera Nursing & Rehabilitation Center, LLC CurrentSince Aug 15, 2006 Accepting new patients
South Miami Blood Flow Assoc LLC CurrentSince Nov 1, 2014 Accepting new patients
Reiss Kang Jayanetti Pereda Galinanes, MD, PA Vascular Surgery CurrentSince Aug 15, 2006 Accepting new patients

Locations

6200 Sunset Dr
Ste 505
South Miami, FL 33143
Phone (305) 598-0888

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: cham.jayanetti.1@24151.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1316052228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "SUITE 505",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-668-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SUNSET DR",
            "address_2": "SUITE 505",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434828",
            "telephone_number": "305-668-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYANETTI",
        "first_name": "CHAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME96517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.