Organization Active NPI

Jayasri Duggirala MD PA

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1326774332
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JAYASRI DUGGIRALA MD PA
Practice address
1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417
Phone
(727) 799-9990
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Jayasri Duggirala, MDNPI 1790289395
Title
Dr.
Phone
(727) 276-2197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417

Mailing address

1831 N Belcher Rd Ste A3
Clearwater, FL 33765-1417
Phone (727) 799-9990

Other names 1

  • Jayasri Duggirala MD PA Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jayasriduggiralamdpa@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221025000315 FL Part B Supplier - Clinic/Group Practice 0749656288 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1326774332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD STE A3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651417",
            "telephone_number": "727-799-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD STE A3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651417",
            "telephone_number": "727-799-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYASRI DUGGIRALA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "DUGGIRALA",
        "authorized_official_first_name": "JAYASRI",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "727-276-2197",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayasriduggiralamdpa@outlook.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1831 N Belcher Rd Ste A3",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337651417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jayasri Duggirala MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.