Individual provider Active NPI

Gnananandh Jayaraman, MD

  • Pulmonary Disease Physician
  • Kingwood, TX
National Provider Identifier
1346414398
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
BP10023489 Issued in TX
Practice address
451 Kingwood Medical Dr Ste 100
Kingwood, TX 77339
Phone
(281) 318-2043
Fax
(281) 360-6306
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01053542A IN
Pulmonary Disease Physician 207RP1001X BP10023489 TX Primary

Addresses

Primary practice location

451 Kingwood Medical Dr Ste 100
Kingwood, TX 77339

Mailing address

451 Kingwood Medical Dr Ste 100
Kingwood, TX 77339-6408
Phone (281) 318-2043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091006000400 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 3375512205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Baylor College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Critical Care and Sleep Specialists PAGroup PAC ID 0244373264, 4 clinicians

Practice addresses (Care Compare)

451 Kingwood Medical Dr
Suite 100
Kingwood, TX 77339-6408
Phone (281) 318-2043

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053542AINMDInternal Medicine Physician
BP10023489TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Intensivists PLLC Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Pulmonary Critical Care and Sleep Specialists, P.a Pulmonary Disease CurrentSince Apr 30, 2003 Accepting new patients
KFS Medical Solutions LLC CurrentSince Apr 24, 2009 Accepting new patients

Locations

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

8901 FM 1960 Bypass Rd W
Ste 306
Humble, TX 77338
Phone (281) 318-2043

24020 Highway 59 N
Kingwood, TX 77339
Phone (281) 358-9974

451 Kingwood Medical Dr
Ste 100
Kingwood, TX 77339
Phone (281) 318-2043

22999 Highway 59 N
Ste 124
Kingwood, TX 77339
Phone (281) 401-9540

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

22999 Highway 59 N
Ste 290B
Kingwood, TX 77339
Phone (281) 592-6300

400 Bypass Ln
Ste 112
Livingston, TX 77352
Phone (281) 318-2043

17189 I 45 S
Ste 585
Shenandoah, TX 77385

Interoperability endpoints

  • Direct secure messaging: gnananandh.jayaraman@pcs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHJAA

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1346414398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 KINGWOOD MEDICAL DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396408",
            "telephone_number": "281-318-2043",
            "fax_number": "281-360-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 KINGWOOD MEDICAL DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-318-2043",
            "fax_number": "281-360-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "GNANANANDH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01053542A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "BP10023489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.