Individual provider Active NPI

Jayalakshmi Pampati, M.D.

  • Rheumatology Physician
  • Hazard, KY
National Provider Identifier
1508819293
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
27723 Issued in KY
Practice address
1908 N Main St
Hazard, KY 41701-2505
Phone
(606) 439-4129
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 27723 KY Primary

Addresses

Primary practice location

1908 N Main St
Hazard, KY 41701-2505

Mailing address

1908 N Main St
Hazard, KY 41701-2503
Phone (606) 439-4129

Other identifiers 1

IdentifierTypeStateIssuer
64277239MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20060608000191 KY Practitioner - RheumatologyPractitioner - Internal Medicine 2062424112 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain After Hours Clinic PSC CurrentSince Aug 1, 1997 Accepting new patients

Locations

1908 N Main St
Ste 120
Hazard, KY 41701

1908 N Main St
Hazard, KY 41701
Phone (606) 439-5057

1908 N Main St
Ste 230
Hazard, KY 41701
Phone (606) 435-2961

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1508819293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012503",
            "telephone_number": "606-439-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N MAIN ST",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417012505",
            "telephone_number": "606-439-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMPATI",
        "first_name": "JAYALAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "27723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64277239",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.