Active NPI
Raja Shekar Rao Jadav, MD
- Internal Medicine Physician
- Cheyenne, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14524A
- Practice address
- 214 E 23Rd St
Cheyenne, WY 82001-3748 - Phone
- (307) 634-2273
- NPI assigned
- Jun 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 14524A | WY | Primary |
Addresses
Primary practice location
214 E 23Rd St
Cheyenne, WY 82001-3748
Mailing address
2464 Hoffman St Apt 5
Bronx, NY 10458-6092
Phone (510) 386-5758
Other practice location 1
4422 3rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6202
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rjadav52798@direct.crmcwy.org | Direct | Memorial Hospital of Laramie County |
| Direct Messaging Address | rjadav52798@direct.crmcwy.org | Health Information Exchange (HIE) | Memorial Hospital of Laramie County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- 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
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 324-2221
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Hospitalist Group LLC | Current | Accepting new patients | |
| Memorial Hospital of Laramie County | Current | Accepting new patients | |
| Rural Family Physicians | Past | Accepting new patients |
Locations
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221
Interoperability endpoints
- rjadav52798@direct.crmcwy.org
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Cheyenne, WY
- NPI 1356985600
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
-
- Critical Access Hospital Clinic/Center
- Denver, CO
- NPI 1881261774
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1568022952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2464 HOFFMAN ST APT 5",
"city": "BRONX",
"state": "NY",
"postal_code": "104586092",
"telephone_number": "510-386-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 E 23RD ST",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820013748",
"telephone_number": "307-634-2273"
}
],
"practiceLocations": [
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "718-960-6202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JADAV",
"first_name": "RAJA SHEKAR RAO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-18",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WY",
"license": "14524A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjadav52798@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rjadav52798@direct.crmcwy.org",
"affiliation": "Y",
"endpointDescription": "CRMC Direct Address",
"affiliationName": "Memorial Hospital of Laramie County",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "214 E 23rd St",
"city": "Cheyenne",
"state": "WY",
"country_code": "US",
"postal_code": "820013748",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.