Individual provider Active NPI

Elzbieta B. McMurtrie-Jayaram, M.D.

  • Nephrology Physician
  • San Antonio, TX
National Provider Identifier
1891770343
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L1388 Issued in TX
Practice address
400 Baltimore
San Antonio, TX 78215-1919
Phone
(210) 228-0743
Fax
(210) 228-9749
NPI assigned
Dec 7, 2005
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 L1388 TX Primary

Addresses

Primary practice location

400 Baltimore
San Antonio, TX 78215-1919

Mailing address

7142 San Pedro Ave
Suite 120
San Antonio, TX 78216-6254
Phone (210) 661-5622

Other identifiers 2

IdentifierTypeStateIssuer
390007584OtherTXMEDICARE RAILROAD
141228001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
67.88
Promoting interoperability
87
Improvement activities
40
Cost
78.84

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Medical Center Clinic PA Past Accepting new patients
West Florida Medical Center Clinic, PA Past Accepting new patients
Sakdc - Davita Dialysis Partners LP PastSince Sep 6, 2007 Accepting new patients
San Antonio Kidney Disease Center Physicians Group, P.L.L.C. Nephrology PastSince Feb 1, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elzbietamcmurtrie@sakdc.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1891770343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7142 SAN PEDRO AVE",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166254",
            "telephone_number": "210-661-5622",
            "fax_number": "210-395-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALTIMORE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151919",
            "telephone_number": "210-228-0743",
            "fax_number": "210-228-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURTRIE-JAYARAM",
        "first_name": "ELZBIETA",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L1388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "390007584",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141228001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.