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JAI K MEDIRATTA DDS
NPI 1225618390
Oral & Maxillofacial Surgery in Rochester, MN

Active since April 12, 2021PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511(507) 284-2511 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Nov 18, 2025, Jul 9, 2021 and 1 more (4 updates tracked since 2021).

About Jai K Mediratta Dds NPPES

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

JAI K MEDIRATTA DDS (NPI 1225618390) is an individual oral & maxillofacial surgery provider in Rochester, Minnesota, licensed in Minnesota (80453) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Univ Of Nebraska Medical Center, Col Of Dentistry (2021).

NPPES Registry Identity

NPI1225618390
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameJAI K MEDIRATTACredential: DDS
Location Address200 1ST ST SWRochester, MN 55905-0002
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Phone(507) 284-2511
Fax(507) 284-2511
Sole ProprietorNo
Medical School CMSUniv Of Nebraska Medical Center, Col Of DentistryGraduated 2021
Enumeration DateApril 12, 2021
Last NPPES UpdateDecember 4, 20254 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1225618390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MN · 80453
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D14574 (MN)
200 1ST ST SW, Rochester, MN 55905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life.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

Jai K Mediratta Dds 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 ID8022411685
PECOS Enrollment IDI20210721000093
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.

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.

EMILY LEASURE MD
Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NATHANAEL BAILEY
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NICOLE S NIPPER NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
BRANDI D'SOUZA NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
DR. JODI M. MOORE-WEISS OD
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JENNIFER L KERKVLIET MA
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
EMMANUEL J LUJERO CRNA
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JUAN PABLO BRITO CAMPANA M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511

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 Jai Mediratta's NPI number?

The NPI number for Jai Mediratta is 1225618390. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Where is Jai Mediratta located?

Jai Mediratta practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Jai Mediratta's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Jai Mediratta enrolled in Medicare?

Yes. Jai Mediratta 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 Jai Mediratta accept?

Health plans from Florida Combined Life list Jai Mediratta 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.

When was this NPI record last updated?

The NPPES record for Jai Mediratta was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.