Active NPI
Arjun Jayaraj, MD
- Vascular Surgery Physician
- Jackson, MS
National Provider Identifier
1316145352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 24055
- Practice address
- 971 Lakeland Dr Ste 401
Jackson, MS 39216-4607 - Phone
- (601) 939-4230
- Fax
- (601) 664-6694
- NPI assigned
- Jul 10, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ML20008974 | WA | |
| Vascular Surgery Physician | 2086S0129X | 56930 | MN | |
| Vascular Surgery Physician | 2086S0129X | 106982 | MN | |
| Vascular Surgery Physician | 2086S0129X | 24055 | MS | Primary |
Addresses
Primary practice location
971 Lakeland Dr Ste 401
Jackson, MS 39216-4607
Mailing address
971 Lakeland Dr Ste 401
Jackson, MS 39216-4607
Phone (601) 939-4230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN | |
| ENROLLED | Medicaid | IA | |
| 04677774 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arjun1@raju.direct.gemmsnet.com | Direct | SESHADRI RAJU, M.D., PA. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
971 Lakeland Dr
Suite 401
Jackson, MS 39216-4607
Phone (601) 939-4230
Hospital & facility affiliations
- St Dominic-Jackson Memorial Hospital
- King'S Daughters Medical Center-Brookhaven
- Anderson Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.54 of 100
- Quality
- 74.69
- Improvement activities
- 40
- Cost
- 68.44
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML20008974 | WA | MD | Surgery Physician |
| 24055 | MS | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seshadri Raju, M.D., PA. | Vascular Surgery | Current | Accepting new patients |
Locations
971 Lakeland Dr
Ste 401
Jackson, MS 39216
Phone (601) 939-4230
Interoperability endpoints
- arjun1@raju.direct.gemmsnet.com
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.
-
- Vascular Surgery Physician
- Jackson, MS
- NPI 1174556377
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1316145352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 LAKELAND DR STE 401",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164607",
"telephone_number": "601-939-4230",
"fax_number": "601-664-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 LAKELAND DR STE 401",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164607",
"telephone_number": "601-939-4230",
"fax_number": "601-664-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAJ",
"first_name": "ARJUN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "ML20008974",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MN",
"license": "56930",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MN",
"license": "106982",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MS",
"license": "24055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04677774",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "arjun1@raju.direct.gemmsnet.com",
"affiliation": "Y",
"endpointDescription": "direct email",
"affiliationName": "SESHADRI RAJU, M.D., PA.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HPI",
"address_1": "971 Lakeland Dr Ste 401",
"city": "Jackson",
"state": "MS",
"country_code": "US",
"postal_code": "392164607",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.