Active NPI
Jayanthi Nagendra Koneru, MD
- Clinical Cardiac Electrophysiology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 0101251764
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9000
Hospital & facility affiliations
- Medical College of Virginia Hospitals
- Henrico Doctors' Hospital
- Sentara Williamsburg Regional Medical Center
- Community Memorial Hospital
- Riverside Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.74 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24026 | NE | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH Physician Services, LLC | Current | Accepting new patients | |
| CMH Physician Services, LLC | Current | Accepting new patients | |
| MCV Associated Physicians | Current | Accepting new patients | |
| Infectious Diseases Associates PC | Past | 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
- 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.
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
-
- Infectious Disease Physician
- Omaha, NE
- NPI 1164448510
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Hill, VA
- NPI 1336103738
-
dba Henrico Doctors' Hospital
- General Acute Care Hospital
- Richmond, VA
- NPI 1194762294
-
dba Riverside Regional Medical Center
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
-
dba Sentara Williamsburg Regional Medical Center
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
-
dba Medical College of Virginia Hospitals
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
-
dba VCU Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.