POORNIMA JAYARAMAIAH MD
NPI 1174784086
Internal Medicine - Endocrinology, Diabetes & Metabolism in Springfield, IL
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Poornima Jayaramaiah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Hshs Medical Group Inc
- 317 clinicians in this Medicare group
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 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.
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, ILSt Marys Hospital
Acute Care Hospitals · Decatur, ILPana Community Hospital
Critical Access Hospitals · Pana, ILSt Francis Hospital
Critical Access Hospitals · Litchfield, ILJacksonville Memorial Hospital
Critical Access Hospitals · Jacksonville, ILPhysician 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.
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.
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.
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.
SPRINGFIELD, IL 62711
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.
Which organization bills Medicare for Poornima Jayaramaiah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Poornima Jayaramaiah reassigns Medicare benefits to Hshs Prairie, Inc (Springfield, IL). The 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 Poornima Jayaramaiah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Poornima Jayaramaiah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica 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.
# Poornima Jayaramaiah, MD · NPI 1174784086
Endocrinology, Diabetes & Metabolism physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since June 23, 2008.
## Identity
- **NPI:** 1174784086 (Entity type: Individual)
- **Enumerated:** June 23, 2008
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** 036-120847 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1118 W LEGACY POINTE DR, Springfield, IL 62711-6444
- **Phone:** (217) 787-8870 · **Fax:** (217) 787-6158
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hshs Prairie, Inc (NPI 1962644807, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** December 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1174784086) · Data from the CMS NPPES public registry.