Individual provider Active NPI

Arjun Jayaraj, MD

  • Vascular Surgery Physician
  • Jackson, MS
National Provider Identifier
1316145352
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
24055 Issued in MS
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN
ENROLLEDMedicaidIA
04677774MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123000196 MS Practitioner - General Surgery 4486895489 Reassigns benefits to 1 organization

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
Seshadri Raju, M.D., PA.Group PAC ID 3971674896, 8 clinicians

Practice addresses (Care Compare)

971 Lakeland Dr
Suite 401
Jackson, MS 39216-4607
Phone (601) 939-4230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.54 of 100Reported as group
Quality
74.69
Improvement activities
40
Cost
68.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML20008974WAMDSurgery Physician
24055MSMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seshadri Raju, M.D., PA. Vascular Surgery CurrentSince Sep 27, 2015 Accepting new patients

Locations

971 Lakeland Dr
Ste 401
Jackson, MS 39216
Phone (601) 939-4230

Interoperability endpoints

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.