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JAYANTHI KRISHNAPRAKASH MD
NPI 1811196009
Hospitalist in Worcester, MA

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment
123 SUMMER ST STE 7350, WORCESTER, MA 01608(508) 363-6849(508) 363-7461 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2020, Mar 17, 2018, Jan 8, 2018 (3 updates tracked since 2018).

About Jayanthi Krishnaprakash Md NPPES

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

JAYANTHI KRISHNAPRAKASH MD (NPI 1811196009) is an individual hospitalist provider in Worcester, Massachusetts, licensed in Massachusetts (238135) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811196009
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameJAYANTHI KRISHNAPRAKASHCredential: MD
Location Address123 SUMMER ST STE 7350Worcester, MA 01608-1216
Mailing Address115 Lincoln StreetFramingham, MA 01702 · (508) 383-1000
Phone(508) 363-6849
Fax(508) 363-7461
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 17, 2007
Last NPPES UpdateJanuary 22, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1811196009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MA · 238135
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.
123 SUMMER ST STE 7350, Worcester, MA 01608
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1115 Lincoln StFramingham, MA 01702-6358 · Phone (508) 383-1000
Location 2101 Page StNew Bedford, MA 02740-3464 · Phone (508) 973-5919 · Fax (508) 973-5916

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

Jayanthi Krishnaprakash 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 ID5092875567
PECOS Enrollment IDI20081114000130
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 5

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 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.
594 services270 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.
156 services154 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
80 services54 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.
49 services48 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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
1 supplier12 claims12 services$14.89 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$913.90 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
1 supplier12 claims12 services$68.32 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 3

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

AHMED K. GAYED M.D.
Hospitalist
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849
PARTH PATEL M.D.
Internal Medicine
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849
MICHAEL COREY ZAPLIN MD
Hospitalist
123 SUMMER ST STE 7350
WORCESTER, MA 01608
Worcester County (508) 363-6849

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 Jayanthi Krishnaprakash's NPI number?

The NPI number for Jayanthi Krishnaprakash is 1811196009. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Jayanthi Krishnaprakash located?

Jayanthi Krishnaprakash practices at 123 Summer St Ste 7350, Worcester, MA 01608. The listed phone number is (508) 363-6849.

What is Jayanthi Krishnaprakash's specialty?

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

Is Jayanthi Krishnaprakash enrolled in Medicare?

Yes. Jayanthi Krishnaprakash 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.

Is Jayanthi Krishnaprakash affiliated with any hospitals?

According to CMS data, Jayanthi Krishnaprakash is affiliated with North Shore Medical Center - and South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Jayanthi Krishnaprakash was last updated on January 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.