DR. JAYDEEP MAHASAMUDRAM MD
NPI 1780294009
Internal Medicine - Gastroenterology in Rochester, MN

Q: What is Jaydeep Mahasamudram's NPI number?

The NPI number for Jaydeep Mahasamudram is 1780294009. It was assigned to this individual provider in the NPPES registry on August 1, 2020.

Q: What is Jaydeep Mahasamudram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since August 01, 2020PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2024, Aug 1, 2020 (2 updates tracked since 2020).

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About Dr. Jaydeep Mahasamudram Md NPPES

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

DR. JAYDEEP MAHASAMUDRAM MD (NPI 1780294009) is an individual gastroenterology provider in Rochester, Minnesota, licensed in Minnesota (76339) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780294009

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. JAYDEEP MAHASAMUDRAMCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateAugust 1, 2020

Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration

NPPES CertifiedOctober 21, 2024

✔ NPI 1780294009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MN · 76339

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

200 1ST ST SW, Rochester, MN 55905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaydeep Mahasamudram Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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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