Active NPI
Abhilasha Jyala, MD
- Student in an Organized Health Care Education/Training Program
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1650 Grand Concourse
Bronx, NY 10457 - Phone
- (718) 960-1234
- NPI assigned
- Jul 14, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1650 Grand Concourse
Bronx, NY 10457
Mailing address
1650 Grand Concourse
Bronx, NY 10457-7606
Phone (917) 929-3184
Other practice location 1
1650 Selwyn Ave Apt 10C
Bronx, NY 10457-7627
Phone (718) 590-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Gastroenterology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
559 W Germantown Pike
Tabor Emergency Physicians
East Norriton, PA 19403-4250
Phone (484) 622-0611
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Current | Accepting new patients | |
| Einstein Practice Plan, Inc. | Current | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients | |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
676 DeKalb Pike
Ste 102
Blue Bell, PA 19422
Phone (610) 233-3660
700 W Germantown Pike
Ste 101
Norristown, PA 19403
Phone (610) 233-3660
700 Cottman Ave
Ste 201
Philadelphia, PA 19111
Phone (215) 742-8123
5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180
1200 W Tabor Rd
Ste 275
Philadelphia, PA 19141
Phone (215) 456-8210
9880 Bustleton Ave
Ste 220
Philadelphia, PA 19115
Phone (215) 456-7900
5401 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 324-3399
559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
-
- Transplant Hepatology Physician
- Philadelphia, PA
- NPI 1265923072
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1942268511
-
- Surgery Physician
- Philadelphia, PA
- NPI 1992761621
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
- General Acute Care Hospital
- East Norriton, PA
- NPI 1104192590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532217600000",
"number": "1578049375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104577606",
"telephone_number": "917-929-3184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-960-1234"
}
],
"practiceLocations": [
{
"address_1": "1650 Selwyn Ave Apt 10C",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104577627",
"country_code": "US",
"telephone_number": "718-590-1800",
"fax_number": "718-960-2055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JYALA",
"first_name": "ABHILASHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-14",
"last_updated": "2018-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2018; 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.