Jose Amalan Jesurajan

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

35.153153 Issued in OH

Practice address

8701 Old Troy Pike Ste 40B
Huber Heights, OH 45424-1066

Phone

(937) 433-3460

NPI assigned

Mar 21, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Hand Surgery

Education

University of South Florida College of Medicine, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jjesurajan303604@direct.llu.edu

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1457987471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 OLD TROY PIKE STE 40B",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241066",
            "telephone_number": "937-433-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 OLD TROY PIKE STE 40B",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241066",
            "telephone_number": "937-433-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESURAJAN",
        "first_name": "JOSE",
        "middle_name": "AMALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35.153153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Healthcare Hospice of Ohio, Inc. (Interim HealthCare Hospice of Dayton)
• Interim Healthcare of Dayton, Inc.
• Iridescence Wellness Studio LLC
• David John Jackson, LPN
• Misty A Jackson, LPN
• Alicia Lorelei Jez, LISW
• Jlaat (Taylor Family Wellness Chiropractic)
• Alice Johnson
• Jennifer L Johnson, OTR
• Ofelia Elena Johnson

• Orthopaedic Hand Surgery Physician in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Orthopaedic Hand Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.