Individual provider Active NPI

Nagesh H Jayaram, MD

  • Hematology & Oncology Physician
  • Jacksonville, NC
National Provider Identifier
1740466564
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2011-00902 Issued in NC
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

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000095 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 8628123742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Medical Oncology CenterGroup PAC ID 8325017817, 10 clinicians

Practice addresses (Care Compare)

239 Station St
Jacksonville, NC 28546-6304
Phone (910) 353-8024

Hospital & facility affiliations

  • Community Hospice LLC Hospice, New Bern, NC, CCN 341586
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
94.41
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01064678AINMDInternal Medicine Physician
2011-00902NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Medical Oncology Center Hematology & Oncology CurrentSince Aug 21, 2011 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.