Jayarama K Naidu, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036054376 Issued in IL

Practice address

2050 Larkin Ave
Suite 202
Elgin, IL 60123

Phone

(847) 697-2400

Fax

(847) 697-2438

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1659440089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 202",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-697-2400",
            "fax_number": "847-697-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 LARKIN AVE",
            "address_2": "SUITE 202",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-697-2400",
            "fax_number": "847-697-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "JAYARAMA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036054376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "1488790",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054376",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Myrda, DO
• Christina Marie Mysliwiec
• Stanley Nabrinsky, MD
• David H Nadelman, MD
• Stephanie Sue Nagarwalla, FNP
• Mohana K Naidu, MD
• Toshio Nakajima, O.D.
• Danielle M Nakhshin, CRNA
• Stella Jackie Namuwanga, MHP
• Nora Nasser

• Psychiatry Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.