Individual provider Active NPI

Sunita N. Jayakumar, M.D.

  • Internal Medicine Physician
  • Waynesburg, PA
National Provider Identifier
1891813713
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD437161 Issued in PA
Practice address
175 Progress Dr
Waynesburg, PA 15370-8082
Phone
(724) 627-4281
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD437161 PA Primary

Addresses

Primary practice location

175 Progress Dr
Waynesburg, PA 15370-8082

Mailing address

35 Paul Dr
Washington, PA 15301-3203
Phone (201) 780-5974

Other practice location 1

510 Jamison Ave
Ellwood City, PA 16117-2590
Phone (724) 752-6845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122001214 OH Practitioner - Internal Medicine 9234314105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

639 W Main St
Barnesville, OH 43713-1039

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnesville Hospital Association, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jun 28, 2023 Accepting new patients
Barnesville Hospital Association, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Apple Occupational Medical Services, LLC Past Accepting new patients

Locations

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891813713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PAUL DR",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153013203",
            "telephone_number": "201-780-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PROGRESS DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708082",
            "telephone_number": "724-627-4281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Jamison Ave",
            "address_purpose": "LOCATION",
            "city": "Ellwood City",
            "state": "PA",
            "postal_code": "161172590",
            "country_code": "US",
            "telephone_number": "724-752-6845",
            "fax_number": "724-752-6845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYAKUMAR",
        "first_name": "SUNITA",
        "middle_name": "N.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD437161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

Verify at the official NPI Registry.