Individual provider Active NPI

Arun Guru Jayakumar, MD

  • Nephrology Physician
  • Greenbelt, MO
National Provider Identifier
1477544575
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0069694 Issued in MD
Practice address
7331 Hanover Parkway
Suite B
Greenbelt, MO 20770-3621
Phone
(301) 345-0605
Fax
(301) 345-0606
NPI assigned
Oct 31, 2005
Last updated
Sep 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D0069694 MD Primary

Addresses

Primary practice location

7331 Hanover Parkway
Suite B
Greenbelt, MO 20770-3621

Mailing address

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100105000517 MD Practitioner - NephrologyPractitioner - Internal Medicine 0244371888 Reassigns benefits to 1 organization
I20100107000445 DC Practitioner - Nephrology 0244371888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Maryland Nephrology, LLCGroup PAC ID 1254304413, 6 clinicians

Practice addresses (Care Compare)

1127 W St
Suite 105
Annapolis, MD 21401-3615
Phone (410) 562-9878

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0069694MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maryland Nephrology, LLC CurrentSince Dec 1, 2009 Accepting new patients
Annapolis Infectious Disease Associates LLP PastSince Jul 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1127 West St
Ste 105
Annapolis, MD 21401
Phone (301) 345-0605

7331 Hanover Pkwy
Greenbelt, MD 20770

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-0605

Interoperability endpoints

  • Direct secure messaging: arun.jayakumar@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 6

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1477544575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PARKWAY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MO",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAKUMAR",
        "first_name": "ARUN",
        "middle_name": "GURU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0069694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.