Jayaram Naidu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E6859 Issued in TX

Practice address

605 E 4TH St
Suite 300
Odessa, TX 79761-5100

Phone

(432) 337-4347

Fax

(432) 337-1657

NPI assigned

Mar 3, 2006

Last updated

Sep 28, 2011By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Bend Medical GroupGroup PAC ID 2163326281, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Express Nursing Home health agency, Odessa, TX, CCN 679327
• Midland Health at Home Home health agency, Midland, TX, CCN 743175
• Accentcare Health and Personal Care Services of Texas Home health agency, Odessa, TX, CCN 457528
• Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661
• Medical Center Hospital Hospital, Odessa, TX, CCN 450132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jayaram.naidu.1@1603.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Bend Medical Group

  dba Family Medical Center

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282
  Medicare reassignment Care Compare group NPD
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD
• Naidu Clinic

  • Cardiovascular Disease Physician
  • Odessa, TX
  • NPI 1427006295
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302

  Hospital

  Care Compare affiliation
• Ector County Hospital District

  dba Medical Center Hospital

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1740273994
  Care Compare affiliation
• Express Nursing, Inc

  dba Express Nursing

  • Home Health Agency
  • Odessa, TX
  • NPI 1184791683
  Care Compare affiliation
• Hands of Compassion Home Care, LLC

  dba Midland Health at Home

  • Home Health Agency
  • Midland, TX
  • NPI 1144344052
  Care Compare affiliation
• Nurses Unlimited Inc

  dba AccentCare Home Health and Personal Care Services of Texas

  • Home Health Agency
  • Odessa, TX
  • NPI 1932183936
  Care Compare affiliation
• Odessa Texas Hospital Company LLC

  dba Odessa Regional Medical Center

  • General Acute Care Hospital
  • Odessa, TX
  • NPI 1306673009
  Care Compare affiliation

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1710954292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E 4TH ST",
            "address_2": "SUITE 300",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615100",
            "telephone_number": "432-337-4347",
            "fax_number": "432-337-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 4TH ST",
            "address_2": "SUITE 300",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615100",
            "telephone_number": "432-337-4347",
            "fax_number": "432-337-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "JAYARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E6859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137326808",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Mygrant, PA
• Sahar Nadimi, DDS
• Sumaira Naeem
• Subhash K Nagalla, M.D.
• Naidu Clinic
• Raja Naidu, MD
• Swarupa K Naidu
• Vighnesh Sathyajith Nair, MD
• Nalin H Tolia PA
• Rosa Juarez Nalla

• Internal Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.

Verify at the official NPI Registry.