Jaya Kediyal, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A16528 Issued in CA

Practice address

2287 Mowry Ave Ste C
Fremont, CA 94538-1622

Phone

(510) 248-1700

Fax

(510) 791-6846

NPI assigned

Dec 28, 2010

Last updated

Apr 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pathways Home Health and Hospice Home health agency, Sunnyvale, CA, CCN 057190
• Care in Touch Home Health Agency Home health agency, Fremont, CA, CCN 059554
• Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score

87.74 of 100Reported as group

Quality

66.48

Promoting interoperability

100

Improvement activities

40

Cost

75.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkediyal144829@direct.whhs.com

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.

• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Washington Township Medical Foundation

  dba Washington Health Urgent Care

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD
• Washington Township Medical Group

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1174675417
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care in Touch Home Health Agency

  • Home Health Agency
  • Fremont, CA
  • NPI 1437428802
  Care Compare affiliation
• Pathways Home Health and Hospice

  • Home Health Agency
  • Sunnyvale, CA
  • NPI 1407069743
  Care Compare affiliation
• Washington Township Hospital District

  dba Washington Hospital

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1821392234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 MOWRY AVE STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381622",
            "telephone_number": "510-248-1700",
            "fax_number": "510-791-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2287 MOWRY AVE STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381622",
            "telephone_number": "510-248-1700",
            "fax_number": "510-791-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEDIYAL",
        "first_name": "JAYA",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohita Kaushik, MA CCC-SLP
• Leena Kavali, MD
• John Kavayiotidis, PT
• Aaron Kayoumy
• Martha Kcancha, MA
• Robert Scott Kehl, MD
• Elaine Keith
• Makayla Aneesah Kelly
• Kenneth A Kelsen, MD
• Laura J Kendall, LCSW

• Family Medicine Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.

Verify at the official NPI Registry.