Individual provider Active NPI

Jayanthi Nagendra Koneru, MD

  • Clinical Cardiac Electrophysiology Physician
  • Richmond, VA
National Provider Identifier
1760682512
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101251764 Issued in VA
Practice address
1250 E Marshall St
Internal Medicine
Richmond, VA 23298-5051
Phone
(804) 628-0147
Fax
(804) 827-1011
NPI assigned
Jul 19, 2007
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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 0101251764 VA
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101251764 VA Primary

Addresses

Primary practice location

1250 E Marshall St
Internal Medicine
Richmond, VA 23298-5051

Mailing address

1200 E Marshall St
Richmond, VA 23298
Phone (804) 628-0734

Other practice location 1

1200 E Marshall St
Richmond, VA 23298-5049
Phone (804) 628-0147

Other practice location 2

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

Other practice location 3

1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 628-0147

Other practice location 4

514 W Atlantic St
South Hill, VA 23970-1906
Phone (434) 447-6969

Other practice location 5

7702 E Parham Rd Ste 106
Richmond, VA 23294-4375
Phone (804) 346-2070

Other practice location 6

1162 Professional Dr
Williamsburg, VA 23185-3330
Phone (757) 220-1246

Other practice location 7

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-7765

Other names 1

  • Jay Koneru Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120807000613 VA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002969243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24026NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Sep 15, 2019 Accepting new patients
CMH Physician Services, LLC CurrentSince Sep 15, 2019 Accepting new patients
MCV Associated Physicians CurrentSince Jul 2, 2012 Accepting new patients
Infectious Diseases Associates PC PastSince Jun 30, 2024 Accepting new patients

Locations

1200 E Marshall St
Richmond, VA 23298
Phone (804) 827-0561

1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

7702 E Parham Rd
Ste 106
Richmond, VA 23294
Phone (804) 346-2070

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

514 W Atlantic St
South Hill, VA 23970
Phone (434) 447-6969

1162 Professional Dr
Williamsburg, VA 23185
Phone (757) 220-1246

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/49ec4064-7609-4f62-b5e6-20a05e00549b/

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

Hospital & facility affiliations 6

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1760682512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23298",
            "telephone_number": "804-628-0734",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL ST",
            "address_2": "INTERNAL MEDICINE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985051",
            "telephone_number": "804-628-0147",
            "fax_number": "804-827-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985049",
            "country_code": "US",
            "telephone_number": "804-628-0147",
            "fax_number": "804-827-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-447-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 E Marshall St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985023",
            "country_code": "US",
            "telephone_number": "804-628-0147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 W Atlantic St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239701906",
            "country_code": "US",
            "telephone_number": "434-447-6969",
            "fax_number": "434-447-2240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7702 E Parham Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944375",
            "country_code": "US",
            "telephone_number": "804-346-2070",
            "fax_number": "804-346-5171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1162 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231853330",
            "country_code": "US",
            "telephone_number": "757-220-1246",
            "fax_number": "757-220-0835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-447-7765",
            "fax_number": "434-447-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONERU",
        "first_name": "JAYANTHI",
        "middle_name": "NAGENDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2024-03-06",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101251764",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101251764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "KONERU",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.