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KISHORE LINGA JAYAKUMAR
NPI 1104321942
Dermatology in Upland, PA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
ONE MEDICAL CENTER BOULEVARD, DEPARTMENT OF MEDICINE - THIRD FLOOR, EAST WING, UPLAND, PA 19013(610) 447-6370 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2022, Mar 26, 2018 (2 updates tracked since 2018).

About Kishore Linga Jayakumar NPPES

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

KISHORE LINGA JAYAKUMAR (NPI 1104321942) is an individual dermatology provider in Upland, Pennsylvania, licensed in Virginia (0101275802) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104321942
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKISHORE LINGA JAYAKUMAR
Location AddressONE MEDICAL CENTER BOULEVARD, DEPARTMENT OF MEDICINE - THIRD FLOOR, EAST WINGUpland, PA 19013
Mailing AddressOne Medical Center Boulevard, Department Of Medicine - Third Floor, East WingUpland, PA 19013 · (610) 447-6370
Phone(610) 447-6370
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1104321942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in VA · 0101275802
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
ONE MEDICAL CENTER BOULEVARD, Upland, PA 19013
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kishore Linga Jayakumar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769851971
PECOS Enrollment IDI20221210000043
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 Kishore Jayakumar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
124 mi
Health Maintenance Organization
19450 DEERFIELD AVE
Lansdowne, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 995 clinicians in this Medicare group
NPI 1225156367 (703) 726-2100
Clinical Dermatology Center, LLC
129 mi
Dermatology
14500 AVION PKWY STE 100
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia enrollment
  • 6 clinicians in this Medicare group
NPI 1902428709 (703) 705-7000

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
162 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services38 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
43 services28 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
41 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19013 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 11

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

DONALD JENKINS II DO
Emergency Medicine
ONE MEDICAL CENTER BOULEVARD, CROZER CHESTER MEDICAL CENTER
UPLAND, PA 19013
Delaware County (215) 447-2000
CROZER-CHESTER MEDICAL CENTER
General Acute Care Hospital
ONE MEDICAL CENTER BOULEVARD
UPLAND, PA 19013
Delaware County (610) 447-2000
CROZER CHESTER MEDICAL CENTER
Clinic/Center (Family Planning, Non-Surgical)
ONE MEDICAL CENTER BOULEVARD, PEARL HALL
UPLAND, PA 19013
Delaware County (610) 447-2271
CROZER-CHESTER MEDICAL CENTER
Rehabilitation Unit
ONE MEDICAL CENTER BOULEVARD
UPLAND, PA 19013
Delaware County (610) 447-2000
JEFFREY STEPHEN GEORGE MD
Emergency Medicine
ONE MEDICAL CENTER BOULEVARD, CROZER CHESTER MEDICAL CENTER
UPLAND, PA 19013
Delaware County (215) 447-2000
FNU KOMALDEEP KAUR MD
Internal Medicine
ONE MEDICAL CENTER BOULEVARD, DEPARTMENT OF MEDICINE, 3 EAST, CROZER CHESTER MEDICAL
UPLAND, PA 19013
Delaware County (610) 874-6114
MARK HARRIS MD
Emergency Medicine
ONE MEDICAL CENTER BOULEVARD, CROZER CHESTER MEDICAL CENTER
UPLAND, PA 19013
Delaware County (215) 447-2000
DR. GEORGE MYLIN PARSONS DO
Emergency Medicine
ONE MEDICAL CENTER BOULEVARD, CROZER CHESTER MEDICAL CENTER
UPLAND, PA 19013
Delaware County (215) 447-2000

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 Kishore Jayakumar's NPI number?

The NPI number for Kishore Jayakumar is 1104321942. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Kishore Jayakumar located?

Kishore Jayakumar practices at One Medical Center Boulevard Department Of Medicine - Third Floor, East Wing, Upland, PA 19013. The listed phone number is (610) 447-6370.

What is Kishore Jayakumar's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kishore Jayakumar enrolled in Medicare?

Yes. Kishore Jayakumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kishore Jayakumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kishore Jayakumar reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Lansdowne, VA) and Clinical Dermatology Center, LLC (Chantilly, VA). 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 Kishore Jayakumar'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 Kishore Jayakumar was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.