Paul David Jayachandra, M D P A

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME0066989 Issued in FL

Practice address

1680 Osceola Elementary Rd
Ste a
St Augustine, FL 32084-0968

Phone

(904) 824-7476

Fax

(904) 824-7870

NPI assigned

Jun 28, 2005

Last updated

Feb 18, 2016By the provider in NPPES

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 8

Medicare fee-for-service enrollment

Enrolled in FL

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

NephrologyAlso: Internal Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul D Jayachandra MD PAGroup PAC ID 3779680236, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bma - Palatka Dialysis facility, Palatka, FL, CCN 102676
• FMC Dialysis Services - Saint Augustine Dialysis facility, Saint Augustine, FL, CCN 102557
• Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
• HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232
• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score

81.78 of 100Reported as apm

Quality

77.66

Promoting interoperability

70.54

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAJEAA/Endpoint/CAJEAA
• Direct secure messaging: pjayachandra743900@direct.shands.ufl.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul D Jayachandra M D P a

  • Specialist
  • St Augustine, FL
  • NPI 1295870830
  Medicare reassignment Care Compare group NPD
• Helder de Paiva MD

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1558602185
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• National Medical Care, Inc.

  dba FMC Dialysis Services St. Augustine

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Augustine, FL
  • NPI 1871605626

  Dialysis facility

  Care Compare affiliation Name & address match
• Flagler Hospital Inc

  • General Acute Care Hospital
  • St Augustine, FL
  • NPI 1144211020
  Care Compare affiliation
• Flagler Hospital, Inc.

  • Urgent Care Clinic/Center
  • St Augustine, FL
  • NPI 1447527965

  Hospital

  Care Compare affiliation
• Putnam Community Medical Center of North Florida, LLC

  dba HCA Florida Putnam Hospital

  • General Acute Care Hospital
  • Palatka, FL
  • NPI 1487045100
  Care Compare affiliation
• Southern Baptist Hospital of Florida Inc

  dba Baptist Medical Center

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449
  Care Compare affiliation

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1417953076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 OSCEOLA ELEMENTARY RD",
            "address_2": "STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320840968",
            "telephone_number": "904-824-7476",
            "fax_number": "904-824-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 OSCEOLA ELEMENTARY RD",
            "address_2": "STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320840968",
            "telephone_number": "904-824-7476",
            "fax_number": "904-824-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYACHANDRA",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M D  P A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME0066989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "206068",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "26220",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376531801",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE",
            "identifier": "150095",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "26220Y",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376531800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA919",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5777008",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Jaramillo Apple, OT
• Ryan Jarnes, CRNA
• Kumait Jaroje, M.D.
• Jason Jones (Loli Behavioral Solutions)
• Jax Family Health Clinic PLLC
• Michael Stanley Jecen, PA
• Kalisha Shevoin Jefferson
• Matthew Joseph Jeffs, PT
• Barbara Jenkin, MA,CAP
• Allison Jenkins

• Nephrology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.