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JAIRAJ VAILOOR M.D.
NPI 1235454745
Hospitalist in Acworth, GA

Active since March 29, 2010PECOS Enrolled
85.99/100
CMS Quality Rating
2487 CEDARCREST RD STE 714, ACWORTH, GA 30101(678) 224-5730(678) 693-7186 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2019, Jan 27, 2017 (2 updates tracked since 2017).

About Jairaj Vailoor M.d. NPPES

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

JAIRAJ VAILOOR M.D. (NPI 1235454745) is an individual hospitalist provider in Acworth, Georgia, licensed in Georgia (068820) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and maintains a secondary practice location in Johns Creek.

NPPES Registry Identity

NPI1235454745
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJAIRAJ VAILOORCredential: M.D.
Location Address2487 CEDARCREST RD STE 714Acworth, GA 30101-2730
Mailing Address6325 Hospital Pkwy, Emory Johns Creek HospitalJohns Creek, GA 30097-5775 · (676) 474-7038
Phone(678) 224-5730
Fax(678) 693-7186
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2010
Enumeration DateMarch 29, 2010
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
✔ NPI 1235454745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 068820
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedSurgeryTaxonomy 208600000X · License 0116022713 (VA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 068820 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2487 CEDARCREST RD STE 714, Acworth, GA 30101
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Secondary Practice Location 1

Location 16325 Hospital Pkwy, Emory Johns Creek HospitalJohns Creek, GA 30097-5775 · Phone (676) 474-7038

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jairaj Vailoor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315221082
PECOS Enrollment IDI20170223001643
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

3

Medicare enrollment records show Jairaj Vailoor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Emory Clinic Inc
31 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Apogee Medical Group Georgia Inc
37 mi
Internal Medicine
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 335 clinicians in this Medicare group
NPI 1629025143 (770) 836-9667
University Of Pittsburgh Physicians
509 mi
Internal Medicine
1100 WASHINGTON AVE, SUITE 115
Carnegie, PA 15106
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1053595942 (412) 279-8940

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 7

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.

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.
377 services136 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.
156 services71 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.
123 services119 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
51 services49 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
17 services12 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30101 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Improvement Activities40
Cost80.63

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers51 claims51 services$18.36 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
6 suppliers67 claims67 services$87.31 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.75 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

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

KATSIARYNA CHUPRASAVA M.D.
Family Medicine
2487 CEDARCREST RD STE 714
ACWORTH, GA 30101
Cobb County (678) 224-5730

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 Jairaj Vailoor's NPI number?

The NPI number for Jairaj Vailoor is 1235454745. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Jairaj Vailoor located?

Jairaj Vailoor practices at 2487 Cedarcrest Rd Ste 714, Acworth, GA 30101. The listed phone number is (678) 224-5730.

What is Jairaj Vailoor's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jairaj Vailoor enrolled in Medicare?

Yes. Jairaj Vailoor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jairaj Vailoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jairaj Vailoor reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Apogee Medical Group Georgia Inc (Carrollton, GA) and University Of Pittsburgh Physicians (Carnegie, PA). 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 Jairaj Vailoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jairaj Vailoor accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Jairaj Vailoor 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 Jairaj Vailoor affiliated with any hospitals?

According to CMS data, Jairaj Vailoor is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Jairaj Vailoor was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.