Active NPI
Jayam K. Krishna Iyer, M.D.
- Pain Medicine (Anesthesiology) Physician
- Clearwater, FL
National Provider Identifier
1841322104
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 24, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME0044742
- Practice address
- 1012 Druid Rd E
Clearwater, FL 33756-5606 - Phone
- (727) 443-4242
- Fax
- (727) 441-1158
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME0044742 | FL | Primary |
Addresses
Primary practice location
1012 Druid Rd E
Clearwater, FL 33756-5606
Mailing address
1012 Druid Rd E
Clearwater, FL 33756-5606
Phone (727) 443-4242
Other names 1
- Jayam K Iyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0044742 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Medical Care LLC | Pain Medicine | Past | Accepting new patients |
Organizations & group practices 1
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": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1841322104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 DRUID RD E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565606",
"telephone_number": "727-443-4242",
"fax_number": "727-441-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 DRUID RD E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337565606",
"telephone_number": "727-443-4242",
"fax_number": "727-441-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNA IYER",
"first_name": "JAYAM",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME0044742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAYAM",
"last_name": "IYER",
"middle_name": "K",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.