Individual provider Active NPI

Abhilasha Jyala, MD

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
National Provider Identifier
1578049375
Registry record updated Jul 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Jul 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251111001351 PA Practitioner - Gastroenterology 2860983574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Dec 1, 2025 Accepting new patients
Einstein Practice Plan, Inc. CurrentSince Dec 1, 2025 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.