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KANDASWAMY JAYARAJ MD PA
NPI 1043218514
Internal Medicine - Endocrinology, Diabetes & Metabolism in Beaumont, TX

Active since July 08, 2005
3030 NORTH ST, #310, BEAUMONT, TX 77702(409) 892-2111(409) 892-2173 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kandaswamy Jayaraj Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANDASWAMY JAYARAJ MD PA (NPI 1043218514) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Beaumont, Texas and active in the NPI registry since July 2005. The organization lists Kandaswamy Jayaraj, Owner, as its authorized official.

NPPES Registry Identity

NPI1043218514
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameKANDASWAMY JAYARAJ MD PA
Location Address3030 NORTH ST, #310Beaumont, TX 77702-1433
Mailing AddressPo Box 12499, 3030 N St #310Beaumont, TX 77726-2499 · (409) 892-2111 · Fax (409) 892-2173
Phone(409) 892-2111
Fax(409) 892-2173
Organization SubpartNo
Authorized OfficialKandaswamy JayarajOwner · (409) 892-2111
Enumeration DateJuly 8, 2005
Last NPPES UpdateNovember 5, 2007
✔ NPI 1043218514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · L6963
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3030 NORTH ST, Beaumont, TX 77702
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING76802
Medicare ID-Type Unspecified00420XTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kandaswamy Jayaraj Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kandaswamy Jayaraj MD PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Kandaswamy Jayaraj, M.D.
Endocrinology
NPI 1447258850
3440 FANNIN ST
Beaumont, TX 77701
(409) 833-6900
✔ PECOS✔ Accepts Medicare4.8 mi
Andrea Yancey, FNP-C
Nurse Practitioner
NPI 1366080376
3440 FANNIN STREET
Beaumont, TX 77701
(409) 833-6900
✔ PECOS✔ Accepts Medicare4.8 mi
Karli Nelson
Nurse Practitioner
NPI 1871027847
2615 CALDER ST
Beaumont, TX 77702
(409) 832-6700
✔ PECOS✔ Accepts Medicare4.8 mi
Stacie Whitley, FNP-C
Nurse Practitioner
NPI 1598202962
1431 S HIGHWAY 69
Nederland, TX 77627
(409) 853-1885
✔ PECOS13 mi
Jennifer East, FNP
Nurse Practitioner
NPI 1871678268
2400 HIGHWAY 365 STE 112
Nederland, TX 77627
(409) 724-7900
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandaswamy Jayaraj MD PA's NPI number?

The NPI number for Kandaswamy Jayaraj MD PA is 1043218514. It was assigned to this organization in the NPPES registry on July 8, 2005.

Where is Kandaswamy Jayaraj MD PA located?

Kandaswamy Jayaraj MD PA is located at 3030 North St #310, Beaumont, TX 77702. The listed phone number is (409) 892-2111.

What is Kandaswamy Jayaraj MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kandaswamy Jayaraj MD PA enrolled in Medicare?

Yes. Kandaswamy Jayaraj MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kandaswamy Jayaraj MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Kandaswamy Jayaraj MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Endocrinology (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kandaswamy Jayaraj MD PA was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.