DR. JAYRAJ F JHALA MD
NPI 1215014360
Internal Medicine in Alcoa, TN

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
266 JOULE ST, ALCOA, TN 37701(865) 984-3864(865) 380-4095 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jayraj F Jhala Md NPPES

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

DR. JAYRAJ F JHALA MD (NPI 1215014360) is an individual internal medicine provider in Alcoa, Tennessee, licensed in Tennessee (39943) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Blount Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1215014360
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAYRAJ F JHALACredential: MD
Location Address266 JOULE STAlcoa, TN 37701-2422
Mailing Address103 W Broadway AveMaryville, TN 37801-4703 · (865) 273-1752 · Fax (865) 273-1755
Fax(865) 380-4095
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 1, 2017
NPI 1215014360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 39943
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
266 JOULE ST, Alcoa, TN 37701

Other Identifiers 3

Medicaid1529872TN
Medicare UPINI40550TN
Medicare PIN10311I7009TN

Accepted 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

Dr. Jayraj F Jhala 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 ID1456385350
PECOS Enrollment IDI20050920001269
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 19

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.

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.
579 services299 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
240 services139 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
177 services106 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
168 services168 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
152 services144 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
104 services13 patients

Hospital Affiliations CMS Care Compare

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

Blount Memorial Hospital

Acute Care Hospitals · Maryville, TN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440011
Location907 E Lamar Alexander ParkwayMaryville, TN 37804 · Blount County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37701 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.55
Promoting Interoperability92
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers32 claims65 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims23 services$1.16 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims397 services$5.57 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims7,080 services$0.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers56 claims56 services$15.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers106 claims106 services$71.37 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 20

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

Physician Assistant
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner
266 JOULE ST
ALCOA, TN 37701
Internal Medicine
266 JOULE ST
ALCOA, TN 37701
Family Medicine
266 JOULE ST
ALCOA, TN 37701
Physician Assistant
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner (Family)
266 JOULE ST
ALCOA, TN 37701
Psychiatry & Neurology (Neurology)
266 JOULE ST
ALCOA, TN 37701
Nurse Practitioner (Adult Health)
266 JOULE ST
ALCOA, TN 37701

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 Jayraj Jhala's NPI number?

The NPI number for Jayraj Jhala is 1215014360. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jayraj Jhala located?

Jayraj Jhala practices at 266 Joule St, Alcoa, TN 37701. The listed phone number is (865) 984-3864.

What is Jayraj Jhala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jayraj Jhala enrolled in Medicare?

Yes. Jayraj Jhala 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 Jayraj Jhala accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jayraj Jhala 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 Jayraj Jhala affiliated with any hospitals?

According to CMS data, Jayraj Jhala is affiliated with Blount Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jayraj Jhala was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.