Individual provider Active NPI

Jayapriya Darshini Raj, M.D.

  • Internal Medicine Physician
  • Live Oak, TX
National Provider Identifier
1447440854
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
277927 Issued in MA
Practice address
12702 N Ih 35
Live Oak, TX 78233-2609
Phone
(210) 650-9660
Fax
(210) 654-1432
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S8637 TX
Internal Medicine Physician 207R00000X 277927 MA Primary

Addresses

Primary practice location

12702 N Ih 35
Live Oak, TX 78233-2609

Mailing address

900 Washington St Ste C
Norwood, MA 02062-3498
Phone (781) 349-8375

Other practice location 1

900 Washington St Ste C
Norwood, MA 02062-3498
Phone (781) 349-8375

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.stewardconnect.org Health Information Exchange (HIE)
Direct Messaging Address JAYAPRIYA.RAJ@hca7.eclinicaldirectplus.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622000843 TX Practitioner - Internal Medicine 5294923025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

12702 N Ih
Suite 35
Live Oak, TX 78233-2609
Phone (210) 650-9669

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Memorial Family Practice Associates, LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12702 N Interstate 35
Live Oak, TX 78233
Phone (210) 650-9669

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jayapriya.raj@hca7.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1447440854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON ST STE C",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623498",
            "telephone_number": "781-349-8375",
            "fax_number": "781-349-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332609",
            "telephone_number": "210-650-9660",
            "fax_number": "210-654-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Washington St Ste C",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "MA",
            "postal_code": "020623498",
            "country_code": "US",
            "telephone_number": "781-349-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJ",
        "first_name": "JAYAPRIYA",
        "middle_name": "DARSHINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-01-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S8637",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "277927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.stewardconnect.org",
            "affiliation": "N",
            "endpointDescription": "portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PHI",
            "address_1": "900 Washington St Ste C",
            "city": "Norwood",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020623498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JAYAPRIYA.RAJ@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "900 Washington St Ste C",
            "city": "Norwood",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020623498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.