PRASHANTH JAYARAJ MD
NPI 1437785474
Family Medicine in Houston, TX

Q: What is Prashanth Jayaraj's NPI number?

The NPI number for Prashanth Jayaraj is 1437785474. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Q: What is Prashanth Jayaraj's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Prashanth Jayaraj was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment

2626 S LOOP W STE 265, HOUSTON, TX 77054(512) 234-4994 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2024, Aug 10, 2020, Mar 22, 2020 (3 updates tracked since 2020).

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About Prashanth Jayaraj Md NPPES

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

PRASHANTH JAYARAJ MD (NPI 1437785474) is an individual family medicine provider in Houston, Texas, licensed in Texas (V3021) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1437785474

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePRASHANTH JAYARAJCredential: MD

Location Address2626 S LOOP W STE 265Houston, TX 77054-5636

Mailing Address2626 S Loop W Ste 265Houston, TX 77054-5636 · (713) 796-9955

Phone(512) 234-4994

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 22, 2020

Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1437785474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · V3021✔ Licensed in FL · ME164820

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2626 S LOOP W STE 265, Houston, TX 77054

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Prashanth Jayaraj 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 ID4385181668

PECOS Enrollment IDI20240805001034, I20241021001359

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

Medicare enrollment records show Prashanth Jayaraj reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ch Specialty Services Tx PLLC

146 mi

Family

800 W 5TH ST
Austin, TX 78703

Reassigned Medicare billing, Texas enrollment
234 clinicians in this Medicare group

NPI 1306225701 (337) 991-9276

Curana Health Medical Group LLC

148 mi

Internal Medicine

8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759

Reassigned Medicare billing, Texas enrollment
338 clinicians in this Medicare group

NPI 1255640678 (337) 991-9276

Midwest Inpatient Anderson Health, Inc

698 mi

Emergency Medicine

6800 IL 162
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
124 clinicians in this Medicare group

NPI 1821758608 (618) 288-5711

Meds Inpatient Services Associates, Inc

709 mi

Hospitalist

400 N PLEASANT AVE
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
21 clinicians in this Medicare group

NPI 1154215895 (618) 436-8000

Midwest Emergency Anderson Health, Inc

719 mi

Emergency Medicine

400 N CALDWELL ST
Staunton, IL 62088

Reassigned Medicare billing, Illinois enrollment
121 clinicians in this Medicare group

NPI 1710647615 (618) 635-2200

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 4

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.

83 services41 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.

44 services28 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.

35 services35 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140034

Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County

Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140289

Location6800 State Route 162Maryville, IL 62062 · Madison County

Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141308

Location705 S Grand AveNashville, IL 62263 · Washington County

Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

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.

CHERYCE HUNSINGER FNP

Nurse Practitioner (Family)