DR. GINI PRIYADHARSHINI JEYASHANMUGARAJA M.D
NPI 1508361056
Internal Medicine - Cardiovascular Disease in Boston, MA

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
185 PILGRIM RD, W/BAKER 4 BOSTON, BOSTON, MA 02215(617) 667-8800 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2024, Jul 12, 2022, Jul 14, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Gini Priyadharshini Jeyashanmugaraja M.d NPPES

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

DR. GINI PRIYADHARSHINI JEYASHANMUGARAJA M.D (NPI 1508361056) is an individual cardiovascular disease provider in Boston, Massachusetts, licensed in Massachusetts (1020057) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1508361056
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. GINI PRIYADHARSHINI JEYASHANMUGARAJACredential: M.D
Location Address185 PILGRIM RD, W/BAKER 4 BOSTONBoston, MA 02215
Mailing Address185 Pilgrim Rd, W/baker 4 BostonBoston, MA 02215 · (617) 667-8800
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 27, 2018
Last NPPES UpdateSeptember 8, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2024
NPI 1508361056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MA · 1020057
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedHospitalistTaxonomy 208M00000X · License 68082 (CT)
185 PILGRIM RD, Boston, MA 02215

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. Gini Priyadharshini Jeyashanmugaraja M.d 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 ID1658615778
PECOS Enrollment IDI20240711001750
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 10

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
149 services149 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.
53 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
34 services33 patients
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.
22 services20 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
185 PILGRIM RD, DEACONESS 319
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Podiatrist
185 PILGRIM RD, DIVISION OF PODIATRY
BOSTON, MA 02215
Internal Medicine (Infectious Disease)
185 PILGRIM RD
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Social Worker (Clinical)
185 PILGRIM RD
BOSTON, MA 02215
Internal Medicine (Nephrology)
185 PILGRIM RD
BOSTON, MA 02215

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 Gini Priyadharshini Jeyashanmugaraja's NPI number?

The NPI number for Gini Priyadharshini Jeyashanmugaraja is 1508361056. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Gini Priyadharshini Jeyashanmugaraja located?

Gini Priyadharshini Jeyashanmugaraja practices at 185 Pilgrim Rd W/Baker 4 Boston, Boston, MA 02215. The listed phone number is (617) 667-8800.

What is Gini Priyadharshini Jeyashanmugaraja's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Gini Priyadharshini Jeyashanmugaraja enrolled in Medicare?

Yes. Gini Priyadharshini Jeyashanmugaraja 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 Gini Priyadharshini Jeyashanmugaraja accept?

Health plans from Anthem Blue Cross and Blue Shield list Gini Priyadharshini Jeyashanmugaraja 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 Gini Priyadharshini Jeyashanmugaraja affiliated with any hospitals?

According to CMS data, Gini Priyadharshini Jeyashanmugaraja is affiliated with Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center, Newton-Wellesley Hospital, Brigham And Women's Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Gini Priyadharshini Jeyashanmugaraja was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.