Individual provider Active NPI

Jyothirmayi Lekkala, M.D.

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1982951992
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
251110 Issued in MA
Practice address
140 High Street
Springfield, MA 01109-1442
Phone
(413) 794-0000
NPI assigned
Aug 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 251110 MA Primary

Addresses

Primary practice location

140 High Street
Springfield, MA 01109-1442

Mailing address

3000 Medical Center Pkwy
2ND Floor
Bentonville, AR 72712-3217
Phone (413) 355-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20160121000828 AR Practitioner - Internal Medicine 2365686961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251110MAMDInternal Medicine Physician
25110MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 3, 2022 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jan 1, 2016 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 3, 2022 Accepting new patients
Mercy Hospital Berryville CurrentSince Mar 1, 2024 Accepting new patients
Mercy Hospital Rogers Past Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

3000 Medical Center Pkwy
Fl 2
Bentonville, AR 72712

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Organizations & group practices 6

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": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1982951992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 MEDICAL CENTER PKWY",
            "address_2": "2ND FLOOR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123217",
            "telephone_number": "413-355-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HIGH STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011091442",
            "telephone_number": "413-794-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEKKALA",
        "first_name": "JYOTHIRMAYI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "251110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.