Kshama Jawalekar, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

2008016361 Issued in MO

Practice address

150 E Ponce de Leon Ave
Suite 120
Decatur, GA 30030-2543

Phone

(800) 998-5859

Fax

(404) 378-7460

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Charleston Radiation Therapy Consultants PLLC

  • Radiation Oncology Physician
  • Charleston, WV
  • NPI 1942208145
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1407989742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE",
            "address_2": "SUITE 120",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302543",
            "telephone_number": "800-998-5859",
            "fax_number": "404-378-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE",
            "address_2": "SUITE 120",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302543",
            "telephone_number": "800-998-5859",
            "fax_number": "404-378-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWALEKAR",
        "first_name": "KSHAMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2008016361",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "12836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-CB9013",
            "identifier": "P00817807",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407989742",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "431560263",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176697001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane D. Jarrett, MD
• Donna Jarrett
• Marianne Jaskevich
• Ameta Deborah Jasper, LAPC
• Anahita Javadpour, DMD
• Jay C. Fisher DMD PC
• Bhanumathi Jayakumar, ANP-C
• Jayray Urodynamics LLC
• JD Wallace Enterprises (Family Health Care Services)
• Jeannie Blom MD PC (Jeannie-In-A-Bottle)

• Radiation Oncology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Radiation Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.