NPIMap

Individual provider Active NPI

Udaya B Jagadeesan, M.D.

  • Internal Medicine Physician
  • Longmeadow, MA
National Provider Identifier
1790743755
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210498 Issued in MA
Practice address
770 Converse St
JGS Administrative Services
Longmeadow, MA 01106
Phone
(413) 567-6213
Fax
(413) 565-2975
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 210498 MA
Internal Medicine Physician 207R00000X 210498 MA Primary

Addresses

Primary practice location

770 Converse St
JGS Administrative Services
Longmeadow, MA 01106

Mailing address

PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000

Other identifiers 1

IdentifierTypeStateIssuer
0193631MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000030 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3476508573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Massachusetts LLCGroup PAC ID 4688967763, 85 clinicians
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (413) 604-5201

Hospital & facility affiliations

  • Legacy Lifecare Home Health and Hospice Care- West Hospice, Longmeadow, MA, CCN 221581
  • Baystate Hospice Hospice, West Springfield, MA, CCN 221521
  • Compassus - Greater Boston Hospice, Northampton, MA, CCN 221568
  • Brookhaven Hospice Hospice, Marlborough, MA, CCN 221586
  • Julian J Levitt Family Nursing Home Nursing home, Longmeadow, MA, CCN 225040
  • Hampden Post Acute Nursing home, Wilbraham, MA, CCN 225295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210498MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Massachusetts LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
CH Specialty Services Ma PC Internal Medicine CurrentSince Jan 10, 2024 Accepting new patients
Jewish Nursing Home of Western Mass., Inc. Past Accepting new patients
Hampden Operator LLC Past Accepting new patients
Vantage at Wilbraham LLC Past Accepting new patients

Locations

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Julian J. Levitt Family Nursing HomeLongmeadow, MA, CCN 225040 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2016
Nov 1, 2016
Hampden Post AcuteWilbraham, MA, CCN 225295 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 28, 2025
May 28, 2025
Legacy Lifecare Visiting Nurse Agency - WestLongmeadow, MA, CCN 227403 Home health agency Other Oct 1, 2018
Legacy Lifecare Home Health and Hospice Care - WestLongmeadow, MA, CCN 221581 Hospice Contracted Managing Employee Oct 1, 2018

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1790743755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010560789",
            "telephone_number": "413-509-1000",
            "fax_number": "413-509-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CONVERSE ST",
            "address_2": "JGS ADMINISTRATIVE SERVICES",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "01106",
            "telephone_number": "413-567-6213",
            "fax_number": "413-565-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGADEESAN",
        "first_name": "UDAYA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "210498",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "210498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193631",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.