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JAYA PADMANABHAN MD
NPI 1104141639
Psychiatry & Neurology - Psychiatry in Boston, MA

Active since March 26, 2010PECOS Enrolled
330 BROOKLINE AVE, KIRSTEIN-2, BOSTON, MA 02215(617) 667-4074(617) 667-7981 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Mar 2, 2018 (2 updates tracked since 2018).

About Jaya Padmanabhan Md NPPES

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

JAYA PADMANABHAN MD (NPI 1104141639) is an individual psychiatry provider in Boston, Massachusetts, licensed in Massachusetts (258732) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1104141639
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJAYA PADMANABHANCredential: MD
Location Address330 BROOKLINE AVE, KIRSTEIN-2Boston, MA 02215
Mailing Address330 Brookline AveBoston, MA 02215-5400 · (617) 667-4074 · Fax (617) 667-7981
Phone(617) 667-4074
Fax(617) 667-7981
Sole ProprietorYes
Enumeration DateMarch 26, 2010
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1104141639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MA · 258732
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.
330 BROOKLINE AVE, Boston, MA 02215
Open in Google Maps ↗

Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 667-1029

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaya Padmanabhan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jaya Padmanabhan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Same address
Psychiatry
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 118 clinicians in this Medicare group
NPI 1770524373 (617) 667-4654
Beth Israel Deaconess Medical Center, Inc.
Same address
General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
NPI 1548202641 (617) 667-1961

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. DEVON ABT HARRIS MD
Obstetrics & Gynecology (Gynecologic Oncology)
330 BROOKLINE AVE, KIRSTEIN 3
BOSTON, MA 02215
Suffolk County (617) 667-3736
DR. ELIZABETH MAIER BALOUGH MD, PHD
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Jaya Padmanabhan's NPI number?

The NPI number for Jaya Padmanabhan is 1104141639. It was assigned to this individual provider in the NPPES registry on March 26, 2010.

Where is Jaya Padmanabhan located?

Jaya Padmanabhan practices at 330 Brookline Ave Kirstein-2, Boston, MA 02215. The listed phone number is (617) 667-4074.

What is Jaya Padmanabhan's specialty?

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

Is Jaya Padmanabhan enrolled in Medicare?

Yes. Jaya Padmanabhan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jaya Padmanabhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaya Padmanabhan reassigns Medicare benefits to 2 organizations: Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Beth Israel Deaconess Medical Center, Inc. (Boston, MA). Each 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 Jaya Padmanabhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jaya Padmanabhan was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.