Active NPI
Prashanth Jayaraj, MD
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- V3021
- Practice address
- 2626 S Loop W Ste 265
Houston, TX 77054-5636 - Phone
- (512) 234-4994
- NPI assigned
- Mar 22, 2020
- Last updated
- Oct 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME164820 | FL | |
| Family Medicine Physician | 207Q00000X | V3021 | TX | Primary |
Addresses
Primary practice location
2626 S Loop W Ste 265
Houston, TX 77054-5636
Mailing address
2626 S Loop W Ste 265
Houston, TX 77054-5636
Phone (713) 796-9955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11020 Dessau Rd
Austin, TX 78754-2053
Phone (337) 991-9276
16219 Ranch Rd 620
Austin, TX 78717-5209
Phone (337) 991-9276
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
- Vitas Healthcare Corporation Midwest
- SSM Health St Mary's Hospital -Centralia
- Anderson Hospital
- Washington County Hospital
- Clay County Hospital
- Good Samaritan Regional HLTH Center
- Park Manor Bee Cave
- Hearthstone Nursing and Rehabilitation
- Washington County Hospital
- Park Place Care Center
- Falcon Ridge Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164820 | FL | MD | Family Medicine Physician |
| V3021 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meds Inpatient Services Associates, Inc | Current | Accepting new patients | |
| Curana Health Medical Group LLC | Current | Accepting new patients | |
| CH Specialty Services TX PLLC | Current | Accepting new patients | |
| Midwest Emergency Anderson Health, Inc | Current | Accepting new patients | |
| Midwest Inpatient Anderson Health, Inc | Current | Accepting new patients | |
| Stratford Hospital District | Past | Accepting new patients | |
| Guadalupe County Hospital Board | Past | Accepting new patients | |
| Hamilton County Hospital District | Past | Accepting new patients | |
| South Limestone Hospital District | Past | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
11020 Dessau Rd
Austin, TX 78754
Phone (512) 871-2244
16219 Ranch Road 620 N
Austin, TX 78717
Phone (512) 520-1834
2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606
8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- pjayaraj556341@direct-ehr-ssmhc.com
Organizations & group practices 9
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.
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1306225701
-
- Internal Medicine Physician
- Austin, TX
- NPI 1255640678
-
- Hospitalist Physician
- Centralia, IL
- NPI 1154215895
-
- Emergency Medicine Physician
- Maryville, IL
- NPI 1821758608
-
- Emergency Medicine Physician
- Staunton, IL
- NPI 1710647615
-
dba Park Place Care Center
- Skilled Nursing Facility
- Georgetown, TX
- NPI 1578956355
-
dba Park Manor Bee Cave
- Skilled Nursing Facility
- Bee Cave, TX
- NPI 1720408073
-
dba Falcon Ridge Rehabilitation
- Skilled Nursing Facility
- Hutto, TX
- NPI 1952708620
-
dba Hearthstone Nursing and Rehabilitation
- Skilled Nursing Facility
- Round Rock, TX
- NPI 1497390082
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Park Place Care Center
- Skilled Nursing Facility
- Georgetown, TX
- NPI 1578956355
Nursing home
-
dba Park Manor Bee Cave
- Skilled Nursing Facility
- Bee Cave, TX
- NPI 1720408073
Nursing home
-
dba Falcon Ridge Rehabilitation
- Skilled Nursing Facility
- Hutto, TX
- NPI 1952708620
Nursing home
-
dba Hearthstone Nursing and Rehabilitation
- Skilled Nursing Facility
- Round Rock, TX
- NPI 1497390082
Nursing home
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
dba SSM Health St. Mary's Hospital - Centralia
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
-
- Community Based Hospice Care Agency
- Fairview Heights, IL
- NPI 1902134299
-
dba Washington County Hospital Walk In Clinic
- Rural Health Clinic/Center
- Nashville, IL
- NPI 1316555816
Hospital
-
- Critical Access Hospital
- Nashville, IL
- NPI 1477504322
Nursing home
-
dba Washington County Hospital
- Critical Access Hospital
- Nashville, IL
- NPI 1659321560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1437785474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 S LOOP W STE 265",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545636",
"telephone_number": "713-796-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 S LOOP W STE 265",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545636",
"telephone_number": "512-234-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAJ",
"first_name": "PRASHANTH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME164820",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V3021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.