Individual provider Active NPI

John Vijay Jayachandran, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Fort Worth, TX
National Provider Identifier
1730164526
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
L6078 Issued in TX
Practice address
900 Jerome St Ste 200
Fort Worth, TX 76104-3940
Phone
(682) 268-6705
Fax
(682) 268-6706
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L6078 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X L6078 TX Primary

Addresses

Primary practice location

900 Jerome St Ste 200
Fort Worth, TX 76104-3940

Mailing address

PO Box 6278
Fort Worth, TX 76115-0278
Phone (817) 568-5467

Other practice location 1

209 Old Highway 1187
Burleson, TX 76028-0281
Phone (682) 268-6700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050825000378 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5092746479 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Huguley Medical Associates, IncGroup PAC ID 2668562471, 50 clinicians

Practice addresses (Care Compare)

900 Jerome St
Suite 200
Fort Worth, TX 76104-3940
Phone (682) 268-6705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
74.14
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
84.55 of 100Reported as individual
Quality
80.32
Promoting interoperability
95
Improvement activities
40
Cost
55.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6078TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Cath Lab of Fort Worth LP CurrentSince Jun 3, 2013 Accepting new patients
Huguley Medical Associates CurrentSince Nov 1, 2024 Accepting new patients
Fort Worth Heart, P.a. CurrentSince Apr 1, 2003 Accepting new patients
Metro Ear Nose and Throat Associates, PA CurrentSince Nov 1, 2024 Accepting new patients
Indiana University Health, Inc Cardiovascular Disease Past Accepting new patients

Locations

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

209 Old Highway 1187
Burleson, TX 76028
Phone (682) 268-2700

900 Jerome St
Ste 200
Fort Worth, TX 76104
Phone (682) 268-6705

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

6949 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 332-1818

1900 Mistletoe Blvd
Ste 100
Ft Worth, TX 76104
Phone 8173381300236

1312 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-1855

Interoperability endpoints

  • Direct secure messaging: jjayachandran660012@adventhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Texas Health Heart & Vascular HospitalArlington, TX, CCN 670071 Hospital Corporate Director (11.13%)
Other (1.05%)
Jan 25, 2024
Feb 18, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1730164526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6278",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761150278",
            "telephone_number": "817-568-5467",
            "fax_number": "817-568-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043940",
            "telephone_number": "682-268-6705",
            "fax_number": "682-268-6706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Old Highway 1187",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760280281",
            "country_code": "US",
            "telephone_number": "682-268-6700",
            "fax_number": "682-268-6701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYACHANDRAN",
        "first_name": "JOHN",
        "middle_name": "VIJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L6078",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "L6078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.