NPIMap

Individual provider Active NPI

Jayaseelan Ambrose, M.D.

  • Interventional Cardiology Physician
  • Du Bois, PA
National Provider Identifier
1437155363
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD061321L Issued in PA
Practice address
145 Hospital Ave
Suite 211
Du Bois, PA 15801-1464
Phone
(814) 375-3722
Fax
(814) 375-3363
NPI assigned
Jun 24, 2005
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD061321L PA
Interventional Cardiology Physician 207RI0011X MD061321L PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 211
Du Bois, PA 15801-1464

Mailing address

145 Hospital Ave
Suite 211
Du Bois, PA 15801-1464
Phone (814) 375-3722

Other identifiers 1

IdentifierTypeStateIssuer
01757982MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000004 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931093416 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Brookville HospitalGroup PAC ID 3072579598, 45 clinicians
Dubois Regional Cardiology AssociatesGroup PAC ID 6800875832, 11 clinicians
J C Blair Memorial HospitalGroup PAC ID 2668378407, 98 clinicians
Elk Regional Health CenterGroup PAC ID 7517870512, 47 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-1842

145 Hospital Ave
Suite 113
Du Bois, PA 15801-1463
Phone (814) 375-3722

239 Colonnade Blvd
State College, PA 16803-2668
Phone (582) 220-2345

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as group
Quality
67.97
Improvement activities
40
Cost
74.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair100
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061321LPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital CurrentSince Aug 15, 2015 Accepting new patients
Dubois Regional Medical Center CurrentSince Aug 7, 1997 Accepting new patients
Dubois Regional Medical Center Cardiovascular Disease CurrentSince Aug 7, 1997 Accepting new patients
Dubois Regional Cardiology Associates LLC Cardiovascular Disease CurrentSince Sep 15, 2003 Accepting new patients
Dubois Regional Medical Center Current Accepting new patients
Brookville Hospital Cardiovascular Disease CurrentSince Aug 15, 2015 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jun 13, 2024 Accepting new patients
Clearfield Hospital Past Accepting new patients
Clearfield Hospital Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

502 Park Ave
Clearfield, PA 16830
Phone (814) 765-1681

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

809 Turnpike Ave
Ste 110
Clearfield, PA 16830
Phone (814) 375-3722

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

145 Hospital Ave
Ste 113
Dubois, PA 15801
Phone (814) 375-3722

145 Hospital Ave
Ste 211
Dubois, PA 15801
Phone (814) 375-2070

275 E 4th St
Emporium, PA 15834
Phone (814) 486-6123

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

761 Johnsonburg Rd
Ste 140
Saint Marys, PA 15857
Phone (814) 375-8055

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

239 Colonnade Blvd
Ph Sc
State College, PA 16803
Phone (582) 220-2345

Interoperability endpoints

  • Direct secure messaging: jambrose@drca.medentdirect.com

Organizations & group practices 10

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.

Hospital & facility affiliations 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1437155363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 211",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011464",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 211",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011464",
            "telephone_number": "814-375-3722",
            "fax_number": "814-375-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "JAYASEELAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD061321L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD061321L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01757982",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.