Active NPI
Jairam Rajan, M.D.
- Obstetrics & Gynecology Physician
- Lansing, MI
National Provider Identifier
1558310441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 042714
- Practice address
- 1433 E Michigan Ave
Suite C
Lansing, MI 48912-2111 - Phone
- (517) 484-9050
- Fax
- (517) 484-8169
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 042714 | MI | Primary |
Addresses
Primary practice location
1433 E Michigan Ave
Suite C
Lansing, MI 48912-2111
Mailing address
1433 E Michigan Ave
Suite C
Lansing, MI 48912-2111
Phone (517) 484-9050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16003300212 | Other | MI | BCBS OF MI |
| 0700120 | Other | MI | PHYSICIANS HEALTH PLAN |
| 2692560 TYPE 10 | Medicaid | MI | |
| QMXPR0024536 | Other | MI | MOLINA HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042714 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1558310441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 E MICHIGAN AVE",
"address_2": "SUITE C",
"city": "LANSING",
"state": "MI",
"postal_code": "489122111",
"telephone_number": "517-484-9050",
"fax_number": "517-484-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 E MICHIGAN AVE",
"address_2": "SUITE C",
"city": "LANSING",
"state": "MI",
"postal_code": "489122111",
"telephone_number": "517-484-9050",
"fax_number": "517-484-8169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAN",
"first_name": "JAIRAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "042714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "16003300212",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIANS HEALTH PLAN",
"identifier": "0700120",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2692560 TYPE 10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTH CARE",
"identifier": "QMXPR0024536",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.