Individual provider Active NPI

Jyotheen S. Karam, M.D.

  • Nephrology Physician
  • Murfreesboro, TN
National Provider Identifier
1619969482
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
40035 Issued in TN
Practice address
1617 Williams Dr
Ste. 200
Murfreesboro, TN 37129-3183
Phone
(615) 890-5484
Fax
(615) 890-7924
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 40035 TN Primary

Addresses

Primary practice location

1617 Williams Dr
Ste. 200
Murfreesboro, TN 37129-3183

Mailing address

1617 Williams Dr
Ste. 200
Murfreesboro, TN 37129-3183
Phone (615) 890-5484

Other identifiers 1

IdentifierTypeStateIssuer
3331617MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050719000652 TN Practitioner - NephrologyPractitioner - Internal Medicine 0244267573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates, PCGroup PAC ID 0840282000, 40 clinicians

Practice addresses (Care Compare)

408 42ND Ave N
Suite 300
Nashville, TN 37209-3669
Phone (615) 356-4111

854 W James Campbell Blvd
Suite 101a
Columbia, TN 38401-4671
Phone (931) 388-3209

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40035TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Nephrology CurrentSince Aug 1, 2005 Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients

Locations

854 W James M Campbell Blvd
Ste 101A
Columbia, TN 38401
Phone (931) 388-3209

1639 Medical Center Pkwy
Ste 300
Murfreesboro, TN 37129
Phone (615) 890-5484

1617 Williams Dr
Ste 200
Murfreesboro, TN 37129
Phone (615) 890-5484

28 White Bridge Pike
Ste 300
Nashville, TN 37205
Phone (615) 356-4111

300 Stonecrest Blvd
Ste 390
Smyrna, TN 37167
Phone (615) 331-8150

Organizations & group practices 2

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 8

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1619969482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 WILLIAMS DR",
            "address_2": "STE. 200",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293183",
            "telephone_number": "615-890-5484",
            "fax_number": "615-890-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 WILLIAMS DR",
            "address_2": "STE. 200",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293183",
            "telephone_number": "615-890-5484",
            "fax_number": "615-890-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAM",
        "first_name": "JYOTHEEN",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "40035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3331617",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.