NPIMap

Individual provider Active NPI

Jayaramakrishna Depa, M.D

  • Nephrology Physician
  • Harlan, KY
National Provider Identifier
1851732911
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
50838 Issued in KY
Practice address
37 Ball Park Rd
Harlan, KY 40831-1701
Phone
(606) 573-4520
Fax
(606) 574-8383
NPI assigned
Jul 17, 2013
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 50838 KY Primary

Addresses

Primary practice location

37 Ball Park Rd
Harlan, KY 40831-1701

Mailing address

37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520

Other practice location 1

7901 Broadway
C7-10
Elmhurst, NY 11373
Phone (718) 334-3930

Other practice location 2

200 Medical Center Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

Other practice location 3

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-7645

Other identifiers 1

IdentifierTypeStateIssuer
7100528570MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jayaramakrishnadepa@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180718000456 KY Practitioner - Nephrology 9931456225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5000 Ky Route 321
Prestonsburg, KY 41653-9113

9879 Ky Route 122
MC Dowell, KY 41647-6026
Phone (606) 377-3462

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50838KYMDNephrology Physician
P01687NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

Interoperability endpoints

  • Direct secure messaging: jayaramakrishnadepa@arh.medalliesdirect.net

Organizations & group practices 7

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 11

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1851732911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BALL PARK RD",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311701",
            "telephone_number": "606-573-4520",
            "fax_number": "606-573-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BALL PARK RD",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408311701",
            "telephone_number": "606-573-4520",
            "fax_number": "606-574-8383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 Broadway",
            "address_2": "C7-10",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "11373",
            "country_code": "US",
            "telephone_number": "718-334-3930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019466",
            "country_code": "US",
            "telephone_number": "606-487-7510",
            "fax_number": "606-439-6793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Ky Route 321",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-886-7645",
            "fax_number": "606-889-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPA",
        "first_name": "JAYARAMAKRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "50838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100528570",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jayaramakrishnadepa@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "37 Ball Park Rd",
            "city": "Harlan",
            "state": "KY",
            "country_code": "US",
            "postal_code": "408311701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harlan, KY

Sources for this page

Verify at the official NPI Registry.