Active NPI
Jagannadha Rao Avasarala, MD, PHD
- Neurology Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 51916
- Practice address
- 740 S Limestone Ky Clinic J401
Lexington, KY 40536-0001 - Phone
- (859) 323-5661
- NPI assigned
- Feb 9, 2006
- Last updated
- May 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2008028207 | MO | |
| Neurology Physician | 2084N0400X | 36752 | SC | |
| Neurology Physician | 2084N0400X | 51916 | KY | Primary |
Addresses
Primary practice location
740 S Limestone Ky Clinic J401
Lexington, KY 40536-0001
Mailing address
740 S Limestone Ky Clinic J401
Lexington, KY 40536-0001
Phone (859) 323-5661
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972576940 | Other | MO | TRIWEST |
| Q0031C | Medicaid | SC | |
| 1972576940 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
740 S Limestone St
Lexington, KY 40508-1683
Phone (859) 257-8562
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0141 | KS | MD | Group Psychotherapy Psychologist |
| 36752 | SC | MD | Pharmacist |
| 51916 | KY | MD | Neurology Physician |
| 2008028207 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Kentucky Medical Services Foundation, Inc | Neurology | Current | Accepting new patients |
| Greenville Health System | Current | Accepting new patients | |
| Kansas Neurological Consultants | Neurology | Past | Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
200 Patewood Dr
Ste B350
Greenville, SC 29615
Phone (864) 454-4500
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Interoperability endpoints
- javasarala19886@ukhcdirect.org
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Neurology
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba GHS Vascular Health Alliance
- General Acute Care Hospital
- Greenville, SC
- NPI 1184049041
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1972576940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S LIMESTONE KY CLINIC J401",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE KY CLINIC J401",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360001",
"telephone_number": "859-323-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVASARALA",
"first_name": "JAGANNADHA",
"middle_name": "RAO",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "2008028207",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "36752",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "51916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "1972576940",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0031C",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972576940",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.