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POORNIMA JAYARAMAIAH MD
NPI 1174784086
Internal Medicine - Endocrinology, Diabetes & Metabolism in Springfield, IL

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1118 W LEGACY POINTE DR, SPRINGFIELD, IL 62711(217) 787-8870(217) 787-6158 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Poornima Jayaramaiah Md NPPES

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

POORNIMA JAYARAMAIAH MD (NPI 1174784086) is an individual endocrinology, diabetes & metabolism provider in Springfield, Illinois, licensed in Illinois (036-120847) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1174784086
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePOORNIMA JAYARAMAIAHCredential: MD
Location Address1118 W LEGACY POINTE DRSpringfield, IL 62711-6444
Mailing Address1118 W Legacy Pointe DrSpringfield, IL 62711-6444 · (217) 787-8870 · Fax (217) 787-6158
Phone(217) 787-8870
Fax(217) 787-6158
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 23, 2008
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1174784086 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 IL · 036-120847
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.
1118 W LEGACY POINTE DR, Springfield, IL 62711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Poornima Jayaramaiah Md 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 ID4284815176
PECOS Enrollment IDI20110225000130
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.

Areas of Expertise CMS Part B claims 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,380 services13 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.
698 services319 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
447 services238 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
343 services143 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
101 services79 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
86 services68 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers79 claims947 services$18.30 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers77 claims2,310 services$2.37 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers74 claims74 services$174.00 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
59 suppliers251 claims922 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
30 suppliers84 claims147 services$1.07 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers61 claims61 services$314.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

EMILY NIELSEN FNP
Nurse Practitioner (Family)
1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711
Sangamon County (217) 787-8870
PAIGE FULLRIEDE LDN
Dietitian, Registered
1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711
Sangamon County (217) 787-8870
MS. JUDY MARIE TONRY APRN,BC
Nurse Practitioner
1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711
Sangamon County (217) 787-8870
RAMA POOLA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1118 W LEGACY POINTE DR
SPRINGFIELD, IL 62711
Sangamon County (217) 787-8870

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 Poornima Jayaramaiah's NPI number?

The NPI number for Poornima Jayaramaiah is 1174784086. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Poornima Jayaramaiah located?

Poornima Jayaramaiah practices at 1118 W Legacy Pointe Dr, Springfield, IL 62711. The listed phone number is (217) 787-8870.

What is Poornima Jayaramaiah's specialty?

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

Is Poornima Jayaramaiah enrolled in Medicare?

Yes. Poornima Jayaramaiah 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.

What insurance does Poornima Jayaramaiah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Poornima Jayaramaiah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Poornima Jayaramaiah affiliated with any hospitals?

According to CMS data, Poornima Jayaramaiah is affiliated with St Johns Hospital, St Marys Hospital, Pana Community Hospital, St Francis Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Poornima Jayaramaiah was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.