Individual provider Active NPI

Jyothi Arun, M.D.

  • Psychiatry Physician
  • Randallstown, MD
National Provider Identifier
1811040694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0062728 Issued in MD
Practice address
3525 Resource Dr
Randallstown, MD 21133-4733
Phone
(410) 922-1900
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0062728 MD Primary

Addresses

Primary practice location

3525 Resource Dr
Randallstown, MD 21133-4733

Mailing address

6545 Meadowfield CT
Elkridge, MD 21075-6879
Phone (410) 379-0797

Other identifiers 1

IdentifierTypeStateIssuer
D0062728OtherMDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070126000633 MD Practitioner - Psychiatry 7113928565 Reassigns benefits to 1 organization
I20230227000315 VA Practitioner - Psychiatry 7113928565 Reassigns benefits to 1 organization
I20230228003358 DC Practitioner - Psychiatry 7113928565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psych Associates of Maryland LLC 151 clinicians

Practice addresses (Care Compare)

120 Sister Pierre Dr
Suite 403
Towson, MD 21204-7536
Phone (410) 823-6408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062728MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neta, Inc. PastSince Jan 21, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.jyothiarun@131200.advancedmd-direct.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811040694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 MEADOWFIELD CT",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756879",
            "telephone_number": "410-379-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 RESOURCE DR",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334733",
            "telephone_number": "410-922-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARUN",
        "first_name": "JYOTHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0062728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0062728",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.