JAYANTHI KRISHNAMOORTHY PETERS M.D.
NPI 1073638227
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Q: What is Jayanthi Peters's NPI number?

The NPI number for Jayanthi Peters is 1073638227. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Jayanthi Peters's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Jayanthi Peters enrolled in Medicare?

No. Jayanthi Peters has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jayanthi Peters was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 20, 2007Opted out of Medicare · through Jan 1, 2028

300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 559-5896 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2024, Feb 9, 2024, Aug 11, 2020 (3 updates tracked since 2020).

On this page

About Jayanthi Krishnamoorthy Peters M.d. NPPES

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

JAYANTHI KRISHNAMOORTHY PETERS M.D. (NPI 1073638227) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301106462) and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073638227

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameJAYANTHI KRISHNAMOORTHY PETERSCredential: M.D.

Location Address300 68TH ST SEGrand Rapids, MI 49548-6927

Mailing Address250 N Shadeland Ave, Suite 130Indianapolis, IN 46219-4959

Phone(616) 559-5896

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateApril 10, 20243 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1073638227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in MI · 4301106462✔ Licensed in OH · 35084122✔ Licensed in IN · 01070092A

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 35084122 (OH)

300 68TH ST SE, Grand Rapids, MI 49548

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Secondary Practice Locations 3

Location 197 S 4th St Ste AIshpeming, MI 49849-2168 · Phone (906) 485-2347 · Fax (906) 486-1150

Location 2703 Pro-Med LnCarmel, IN 46032-5317 · Phone (317) 843-9922

Location 3790 Fuller Ave NEGrand Rapids, MI 49503-1918 · Phone (616) 336-3909

Other Identifiers 2

Medicaid201032310IN

Other000000735742IN · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jayanthi Krishnamoorthy Peters M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILLIAN LEIGH MURRAY L.C.S.W

Social Worker (Clinical)