Active NPI
Anita Jeyakumar, MD
- Otolaryngology Physician
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35.087978
- Practice address
- 8423 Market St Ste 210
Boardman, OH 44512-6778 - Phone
- (330) 729-1934
- Fax
- (330) 729-1861
- NPI assigned
- Sep 1, 2006
- Last updated
- Jan 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35.087978 | OH | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 35.087978 | OH |
Addresses
Primary practice location
8423 Market St Ste 210
Boardman, OH 44512-6778
Mailing address
8423 Market St Ste 210
Boardman, OH 44512-6778
Phone (330) 729-1934
Other practice location 1
1 Perkins Sq
Akron, OH 44308-1063
Phone (330) 543-4930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2678115 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Meharry Medical College School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
632 E Market St
Suite B
Akron, OH 44304-1661
Phone (866) 644-3277
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.087978 | OH | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children's Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children's Hospital Medical Center of Akron | Current | Accepting new patients | |
| Hears LLC | Current | Accepting new patients | |
| United Podiatry Inc | Past | Accepting new patients | |
| Louisiana State University School of Med in New Orleans Faculty Grou | Past | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
632 E Market St
Ste B
Akron, OH 44304
Phone (330) 864-8501
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
Organizations & group practices 6
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.
-
- Medical Specialty Clinic/Center
- Akron, OH
- NPI 1932943875
-
dba Akron Children's Hospital-Physician Group
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
dba Akron Children's Hospital Anesthesia
- Anesthesiology Physician
- Boardman, OH
- NPI 1417257601
-
dba Akron Children's Home Care
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Foot & Ankle Surgery Podiatrist
- Kent, OH
- NPI 1396106613
-
dba LSU Healthcare Network
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1548362486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8423 MARKET ST STE 210",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126778",
"telephone_number": "330-729-1934",
"fax_number": "330-729-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8423 MARKET ST STE 210",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126778",
"telephone_number": "330-729-1934",
"fax_number": "330-729-1861"
}
],
"practiceLocations": [
{
"address_1": "1 Perkins Sq",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443081063",
"country_code": "US",
"telephone_number": "330-543-4930",
"fax_number": "330-543-4931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEYAKUMAR",
"first_name": "ANITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35.087978",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "OH",
"license": "35.087978",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2678115",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.