Individual provider Active NPI

Krishnaraj Jayarama, D.O.

  • Emergency Medicine Physician
  • Bellingham, WA
National Provider Identifier
1558548156
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
60774163 Issued in WA
Practice address
1200 Old Fairhaven Pkwy Ste 201
Bellingham, WA 98225-7446
Phone
(732) 762-9372
NPI assigned
Jan 25, 2008
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB08253300 NJ
Emergency Medicine Physician 207P00000X 60774163 WA Primary
Emergency Medicine Physician 207P00000X 2008-00763 NC

Addresses

Primary practice location

1200 Old Fairhaven Pkwy Ste 201
Bellingham, WA 98225-7446

Mailing address

1820 Kelly Rd
Bellingham, WA 98226-7508
Phone (732) 762-9372

Other identifiers 1

IdentifierTypeStateIssuer
5909871MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 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
I20110120000913 TX Practitioner - Emergency Medicine 9739255399 Reassigns benefits to 2 organizations
I20171121000343 WA Practitioner - Emergency Medicine 9739255399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.98 of 100Reported as individual
Quality
94.47
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08253300NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince May 2, 2011 Accepting new patients
Baylor College of Medicine CurrentSince May 2, 2011 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Oct 1, 2010 Accepting new patients
Mid-Atlantic Emergency Medical Associates, PLLC Emergency Medicine Past Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

14201 E Sam Houston Pkwy N
Houston, TX 77044
Phone (281) 436-8800

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Interoperability endpoints

  • Direct secure messaging: kjayarama24140@skagit.direct-ci.com

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.

Hospital & facility affiliations 4

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1558548156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 KELLY RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267508",
            "telephone_number": "732-762-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD FAIRHAVEN PKWY STE 201",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257446",
            "telephone_number": "732-762-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAMA",
        "first_name": "KRISHNARAJ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08253300",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "60774163",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2008-00763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.