Individual provider Active NPI

Darwin David Selwyn Jeyaraj, MD

  • Interventional Cardiology Physician
  • Joplin, MO
National Provider Identifier
1720180433
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2013015492 Issued in MO
Practice address
3333 McIntosh Cir Ste 4
Joplin, MO 64804-3681
Phone
(417) 347-5000
Fax
(417) 347-6454
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29757 OK
Cardiovascular Disease Physician 207RC0000X 2013015492 MO
Interventional Cardiology Physician 207RI0011X 29757 OK
Interventional Cardiology Physician 207RI0011X 2013015492 MO Primary

Addresses

Primary practice location

3333 McIntosh Cir Ste 4
Joplin, MO 64804-3681

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-5000

Other practice location 1

30 B St SW
Miami, OK 74354-6808
Phone (918) 542-2273

Other identifiers 1

IdentifierTypeStateIssuer
2501626MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130919000413 MO Practitioner - Cardiovascular Disease (Cardiology) 3971579541 Reassigns benefits to 2 organizations
I20130920000275 OK Practitioner - Cardiovascular Disease (Cardiology) 3971579541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians

Practice addresses (Care Compare)

1101 E 13TH St
Grove, OK 74344-7959
Phone (417) 347-3649

1102 W 32 St
Joplin, MO 64804-3503

Hospital & facility affiliations

  • Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
  • Integris Miami Hospital Hospital, Miami, OK, CCN 370004
  • Integris Grove Hospital Hospital, Grove, OK, CCN 370113
  • Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331
  • Labette Health Hospital, Parsons, KS, CCN 170120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting58
Pacemaker insertion or repair35
Leg revascularization (restoring blood flow)33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013015492MOMDCardiovascular Disease Physician
29757OKMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System Cardiovascular Disease CurrentSince Jul 17, 2013 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Feb 1, 2014 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Oct 1, 2013 Accepting new patients
Hospitalist Medicine Physicians of Ashtabula County, LTD Past Accepting new patients
Freeman-Oak Hill Health System Past Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

1102 W 32nd St
Ste 200
Joplin, MO 64804
Phone (417) 347-5001

3333 McIntosh Cir
Ste 4
Joplin, MO 64804
Phone (417) 347-5000

1102 W 32nd St
Ste 300
Joplin, MO 64804
Phone (417) 347-5000

1101 E 13th St
Grove, OK 74344
Phone (417) 347-3649

30 B St SW
Miami, OK 74354
Phone (918) 542-2273

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Organizations & group practices 6

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1720180433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-5000",
            "fax_number": "417-347-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MCINTOSH CIR STE 4",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043681",
            "telephone_number": "417-347-5000",
            "fax_number": "417-347-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 B St SW",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "OK",
            "postal_code": "743546808",
            "country_code": "US",
            "telephone_number": "918-542-2273",
            "fax_number": "918-542-4558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEYARAJ",
        "first_name": "DARWIN",
        "middle_name": "DAVID SELWYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "29757",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2013015492",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OK",
            "license": "29757",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2013015492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2501626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.