NPIMap

Individual provider Active NPI

Vijay Jayaraman, M.D.

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1811195092
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14470 Issued in NV
Practice address
8530 W Charleston Blvd
Ste 230
Las Vegas, NV 89117-1308
Phone
(702) 483-4493
Fax
(702) 483-4493
NPI assigned
Jul 10, 2007
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14470 NV
Gastroenterology Physician 207RG0100X 14470 NV Primary

Addresses

Primary practice location

8530 W Charleston Blvd
Ste 230
Las Vegas, NV 89117-1308

Mailing address

8530 W Charleston Blvd
Ste 230
Las Vegas, NV 89117-1308
Phone (702) 483-4493

Other identifiers 2

IdentifierTypeStateIssuer
VWQBHVOtherNVGROUP MEDICARE#
1811195092MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20130719000032 NV Practitioner - GastroenterologyPractitioner - Internal Medicine 7719072735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
Kim Chen PLLCGroup PAC ID 3971813379, 18 clinicians

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

9260 W Sunset Rd
Suite 306
Las Vegas, NV 89148-4903
Phone (702) 483-4483

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Merit-based Incentive Payment System (MIPS)

Final score
98.39 of 100Reported as group
Quality
96.78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy224
Upper gastrointestinal (GI) endoscopy for acid reflux346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Dec 6, 2022 Accepting new patients
Community Care Services LLC CurrentSince Dec 6, 2022 Accepting new patients
Community Care Services LLC Internal Medicine Current Accepting new patients
Desert Springs Hospital Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Bullhead City Hospital Corporation Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
University Hospital at Stony Brook Past Accepting new patients
Community Care Services LLC Gastroenterology Past Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

Interoperability endpoints

  • Direct secure messaging: vijay.j@cdin.curemd.direct-ci.com
  • Direct secure messaging: vjayaraman191707@direct.renown.org

Organizations & group practices 12

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 7

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1811195092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 W CHARLESTON BLVD",
            "address_2": "STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171308",
            "telephone_number": "702-483-4493",
            "fax_number": "702-483-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 W CHARLESTON BLVD",
            "address_2": "STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171308",
            "telephone_number": "702-483-4493",
            "fax_number": "702-483-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14470",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "14470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE#",
            "identifier": "VWQBHV",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811195092",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.