Individual provider Active NPI

Latha M. Jayaraman, M.D.

  • Internal Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1740493501
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.092072 Issued in OH
Practice address
822 Kumho Dr
Suite Number 202
Fairlawn, OH 44333-9297
Phone
(330) 576-0500
Fax
(330) 576-0467
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.092072 OH
Internal Medicine Physician 207R00000X 35.092072 OH Primary

Addresses

Primary practice location

822 Kumho Dr
Suite Number 202
Fairlawn, OH 44333-9297

Mailing address

822 Kumho Dr
Suite Number 202
Fairlawn, OH 44333-9297
Phone (330) 576-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090224000346 OH Practitioner - Internal Medicine 6406911528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Ohio LLCGroup PAC ID 9032527221, 232 clinicians

Practice addresses (Care Compare)

141 N Forge St
Akron, OH 44304-1407
Phone (330) 375-3000

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

Merit-based Incentive Payment System (MIPS)

Final score
89.96 of 100Reported as group
Quality
77.5
Promoting interoperability
99
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.092072OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Dec 18, 2023 Accepting new patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Summa Health System Past Accepting new patients

Locations

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

29 N Adams St
Akron, OH 44304
Phone (330) 572-7293

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

1290 Fairchild Ave
Kent, OH 44240
Phone (330) 678-4912

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Organizations & group practices 4

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 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1740493501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 KUMHO DR",
            "address_2": "SUITE NUMBER 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339297",
            "telephone_number": "330-576-0500",
            "fax_number": "330-576-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 KUMHO DR",
            "address_2": "SUITE NUMBER 202",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443339297",
            "telephone_number": "330-576-0500",
            "fax_number": "330-576-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "LATHA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.092072",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.092072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.