Arun Guru Jayakumar, MD
Individual provider Active NPI Nephrology Physician · Greenbelt, MO
NPI 1477544575 · NPPES record last updated Sep 20, 2011
Key facts
- NPI
- 1477544575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- D0069694 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nephrology
- 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, LLC
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
- DaVita Severn River Dialysis
- DaVita Annapolis Dialysis
- Concerto Maryland, LLC
- Luminis Health Anne Arundel Medical Center, Inc
- University of MD Capital Region Medical Center
- Luminis Health Doctors Community Medical Ctr, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100105000517 | MD | Practitioner - Nephrology |
0244371888 | Reassigns benefits to 1 organization |
| I20100107000445 | DC | Practitioner - Nephrology | 0244371888 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0069694 | MD | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maryland Nephrology, LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Annapolis Infectious Disease Associates LLP | Past |
Accepting new patients |
Locations
1127 West St
Ste 105
Annapolis, MD 21401
Phone (301) 345-0605
7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-0605
7331 Hanover Pkwy
Greenbelt, MD 20770
Interoperability endpoints
- arun.jayakumar@direct.davitaphysiciansolutions.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | D0069694 | MD | Yes |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.