Chemmale Jayakrishnan

Primary specialty

SpecialistTaxonomy code 174400000X

License

04201R Issued in LA

Practice address

1057 Paul Maillard Rd
Luling, LA 70070-4349

Phone

(985) 785-2045

Fax

(504) 575-3691

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

General PracticeAlso: Cardiovascular Disease (Cardiology)

Education

New York University Medical College - NLG, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Health LouisianaGroup PAC ID 3678484276, shared by 50 NPIs, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chemmale.jayakrishnan.1@11331.direct.athenahealth.com

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.

• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Norco, LA
  • NPI 1376784868
  Medicare reassignment NPD
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1417999327
  Medicare reassignment NPD
• St. Charles Medical Clinic

  • Primary Care Clinic/Center
  • Luling, LA
  • NPI 1407947708
  NPD (past) Authorized official
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1255226429
  NPD
• Pacemaker Clinic, Inc.

  • Health Service Clinic/Center
  • Metairie, LA
  • NPI 1194887489
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1376635607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-2045",
            "fax_number": "504-575-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKRISHNAN",
        "first_name": "CHEMMALE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "04201R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444642",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182290",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kandace Houston
• Mindy Gaubert Hymel, PA-C
• Integrative Touch Pediatric Occupational Therapy Services, LLC
• J David Brannen DDS
• Tricia Jaquillard
• Carla Jett-Expose, P. T. A.
• JMB Therapy LLC
• David Alan Johnson, MD
• Thadrian Marquis Johnson, R.PH.
• Kevin O Joseph, M.D.

• Specialist in Luling, LA
• Providers in Luling, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.

Verify at the official NPI Registry.