Active NPI
Nagesh H Jayaram, MD
- Hematology & Oncology Physician
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2011-00902
- Practice address
- 239 Station Street
Jacksonville, NC 28546 - Phone
- (910) 353-0819
- Fax
- (910) 353-0828
- NPI assigned
- Jan 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01064678A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 2011-00902 | NC | Primary |
Addresses
Primary practice location
239 Station Street
Jacksonville, NC 28546
Mailing address
239 Station Street
Jacksonville, NC 28546
Phone (910) 353-0819
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJayaram@cancersmoc.direct.varian.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111005000095 | NC | Practitioner - Hematology/Oncology | 8628123742 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
239 Station St
Jacksonville, NC 28546-6304
Phone (910) 353-8024
Hospital & facility affiliations
- Community Hospice LLC
- Onslow Memorial Hospital
- Novant Health New Hanover Regional Medical Center
- Carolina East Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.2 of 100
- Quality
- 94.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01064678A | IN | MD | Internal Medicine Physician |
| 2011-00902 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Medical Oncology Center | Hematology & Oncology | Current | Accepting new patients |
| Indiana Hemophilia & Thrombosis Center, Inc. | Hematology & Oncology | Past | Accepting new patients |
Locations
211 Beaman St
Clinton, NC 28328
Phone (877) 293-1973
203 Cox Blvd
Goldsboro, NC 27534
Phone (919) 580-0000
239 Station St
Jacksonville, NC 28546
Phone (910) 353-0819
Interoperability endpoints
- njayaram@cancersmoc.direct.varian.com
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Goldsboro, NC
- NPI 1306828678
Hematology & Oncology, NC
-
- Hematology & Oncology Physician
- Indianapolis, IN
- NPI 1659364800
Hematology & Oncology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1740466564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 STATION STREET",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-353-0819",
"fax_number": "910-353-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 STATION STREET",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-353-0819",
"fax_number": "910-353-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYARAM",
"first_name": "NAGESH",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01064678A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2011-00902",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "NJayaram@cancersmoc.direct.varian.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "239 Station Street",
"city": "Jacksonville",
"state": "NC",
"country_code": "US",
"postal_code": "28546",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.