Active NPI
Kiran N Jayaram, MD
- Clinical Cardiac Electrophysiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- J5592
- Practice address
- 4411 Medical Dr Ste 300
San Antonio, TX 78229-3824 - Phone
- (210) 614-5400
- Fax
- (210) 614-2413
- NPI assigned
- Feb 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | J5592 | TX | Primary |
Addresses
Primary practice location
4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Mailing address
4411 Medical Dr Ste 300
San Antonio, TX 78229-3824
Phone (210) 614-5400
Other practice location 1
1139 E Sonterra Blvd Ste 520
San Antonio, TX 78258-4347
Phone (210) 490-6000
Other practice location 2
134 Menger Spgs Ste 1370
Boerne, TX 78006-7228
Phone (830) 331-8000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118074707 | Medicaid | TX | |
| TXB112459 | Other | TX | MEDICARE |
| 8CM506 | Other | TX | BCBS |
| P00898251 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- University of Texas Southwestern Medical School at Dallas, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4411 Medical Dr
Suite 300
San Antonio, TX 78229-3849
8109 Fredericksburg Rd
San Antonio, TX 78229-3311
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.08 of 100
- Quality
- 89.51
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imed Healthcare Associates, PLLC | Past | Accepting new patients | |
| Methodist Medical Group, PLLC | Clinical Cardiac Electrophysiology | Past | Accepting new patients |
| San Antonio Cardiology Clinic PA | Past | Accepting new patients |
Interoperability endpoints
- kiran.jayaram@hca7.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1568619005
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1982979605
Clinical Cardiac Electrophysiology
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1326073206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992777320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 MEDICAL DR STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293824",
"telephone_number": "210-614-5400",
"fax_number": "210-614-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 MEDICAL DR STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293824",
"telephone_number": "210-614-5400",
"fax_number": "210-614-2413"
}
],
"practiceLocations": [
{
"address_1": "1139 E Sonterra Blvd Ste 520",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782584347",
"country_code": "US",
"telephone_number": "210-490-6000",
"fax_number": "210-490-4658",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "134 Menger Spgs Ste 1370",
"address_purpose": "LOCATION",
"city": "Boerne",
"state": "TX",
"postal_code": "780067228",
"country_code": "US",
"telephone_number": "830-331-8000",
"fax_number": "830-331-8004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAYARAM",
"first_name": "KIRAN",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "TX",
"license": "J5592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118074707",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "TXB112459",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CM506",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00898251",
"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 Jul 21, 2022; 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.