Individual provider Active NPI

Anuradha Jeyaraman, M.D.

  • Hospitalist Physician
  • Lutz, FL
National Provider Identifier
1720274343
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME110489 Issued in FL
Practice address
4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone
(813) 321-6237
Fax
(813) 463-1801
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.090229 OH
Internal Medicine Physician 207R00000X ME110489 FL
Hospitalist Physician 208M00000X 35-090229 OH
Hospitalist Physician 208M00000X ME110489 FL Primary

Addresses

Primary practice location

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005

Mailing address

4211 Van Dyke Rd Ste 200
Lutz, FL 33558-8005
Phone (813) 321-6237

Other identifiers 2

IdentifierTypeStateIssuer
004869800MedicaidFL
2943579MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Anuradha.JeyaramanMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120514000756 FL Practitioner - HospitalistPractitioner - Internal Medicine 7618027954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

4211 Van Dyke Rd
Lutz, FL 33558-8005

Hospital & facility affiliations

  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110489FLMDInternal Medicine Physician
35.090229OHMDInternal Medicine Physician
35-090229OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Baycare Medical Group, Inc. CurrentSince May 1, 2015 Accepting new patients
Fairfield Hospitalists Inc Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Internal Medicine Past Accepting new patients
Medicine Inpatient Group, LLC Internal Medicine Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

4211 Van Dyke Rd
#200
Lutz, FL 33558
Phone (813) 264-6490

4211 Van Dyke Rd
Ste 200
Lutz, FL 33558
Phone (813) 264-6490

3001 W Mlk Blvd
#3E
Tampa, FL 33607
Phone (813) 337-7535

3001 W Dr Martin Luther King Jr Blvd
#3075
Tampa, FL 33607
Phone (813) 870-4887

Interoperability endpoints

  • Direct secure messaging: anuradha.jeyaramanmd@direct.mybaycare.org

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 1

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": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1720274343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 VAN DYKE RD STE 200",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588005",
            "telephone_number": "813-321-6237",
            "fax_number": "813-463-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 VAN DYKE RD STE 200",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588005",
            "telephone_number": "813-321-6237",
            "fax_number": "813-463-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEYARAMAN",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.090229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME110489",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-090229",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME110489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004869800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2943579",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anuradha.JeyaramanMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.