Active NPI
Kandaswamy Jayaraj, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- L6963
- Practice address
- 3440 Fannin St
Beaumont, TX 77701-3842 - Phone
- (409) 833-6900
- Fax
- (409) 833-6908
- NPI assigned
- Jul 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | L6963 | TX | Primary |
Addresses
Primary practice location
3440 Fannin St
Beaumont, TX 77701-3842
Mailing address
PO Box 12499
Beaumont, TX 77726-2499
Phone (409) 833-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168936601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Duke University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3440 Fannin St
Beaumont, TX 77701-3842
Phone (409) 833-6900
Hospital & facility affiliations
- Baptist Beaumont Hospital
- Christus Jasper Memorial Hospital
- Christus Southeast Texas- St Elizabeth
- Tyler County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 82.28
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kandaswamy Jayaraj MD PA | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
3440 Fannin St
Beaumont, TX 77701
Phone (409) 833-6900
3030 North St
Ste 310
Beaumont, TX 77702
Phone (248) 802-9174
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDAAAA
Organizations & group practices 1
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Beaumont, TX
- NPI 1043218514
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
- Rural Acute Care Hospital
- Jasper, TX
- NPI 1598749707
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
-
- General Acute Care Hospital
- Woodville, TX
- NPI 1447259627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1447258850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12499",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777262499",
"telephone_number": "409-833-6900",
"fax_number": "409-833-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 FANNIN ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777013842",
"telephone_number": "409-833-6900",
"fax_number": "409-833-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAJ",
"first_name": "KANDASWAMY",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-09",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "L6963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168936601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.