1. Home
  2. Directory
  3. New York
  4. Ozone Park
  5. Allergy Immunology
  6. NPI Profile

JAYASRI INDARAM MD
NPI 1255331302
Allergy & Immunology in Ozone Park, NY

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
9709 101ST AVE, OZONE PARK, NY 11416(718) 641-5555(718) 641-6677 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jayasri Indaram Md NPPES

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

JAYASRI INDARAM MD (NPI 1255331302) is an individual allergy & immunology provider in Ozone Park, New York, licensed in New York (193883) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1255331302
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameJAYASRI INDARAMCredential: MD
Location Address9709 101ST AVEOzone Park, NY 11416-2523
Mailing Address10 Carriage DrOld Westbury, NY 11568-1323 · (516) 655-3327 · Fax (516) 801-2070
Phone(718) 641-5555
Fax(718) 641-6677
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJuly 29, 2005
Last NPPES UpdateDecember 5, 2013
✔ NPI 1255331302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NY · 193883
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
9709 101ST AVE, Ozone Park, NY 11416
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF74315NY
Medicaid01528252NY
Medicare ID-Type Unspecified291341NY

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

Jayasri Indaram 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 ID749264349
PECOS Enrollment IDI20040614000179
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.

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 Jayasri Indaram's NPI number?

The NPI number for Jayasri Indaram is 1255331302. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Jayasri Indaram located?

Jayasri Indaram practices at 9709 101st Ave, Ozone Park, NY 11416. The listed phone number is (718) 641-5555.

What is Jayasri Indaram's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Jayasri Indaram enrolled in Medicare?

Yes. Jayasri Indaram 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.

When was this NPI record last updated?

The NPPES record for Jayasri Indaram was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.