DR. PRATHAP JAYARAM M.D.
NPI 1881953628
Physical Medicine & Rehabilitation - Sports Medicine in Atlanta, GA

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
11 ORTHO LN, ATLANTA, GA 30329(410) 225-8790 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2022, Jan 28, 2022, Nov 13, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Prathap Jayaram M.d. NPPES

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

DR. PRATHAP JAYARAM M.D. (NPI 1881953628) is an individual sports medicine provider in Atlanta, Georgia, licensed in Georgia (90850) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1881953628
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. PRATHAP JAYARAMCredential: M.D.
Location Address11 ORTHO LNAtlanta, GA 30329
Mailing Address11 Ortho LnAtlanta, GA 30329-2038
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 14, 2012
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
NPI 1881953628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Licenses Licensed in GA · 90850 Licensed in TX · 45938
Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 90850 (GA)
11 ORTHO LN, Atlanta, GA 30329

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. Prathap Jayaram 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 ID5698045615
PECOS Enrollment IDI20220204000429
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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
356 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
126 services126 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.
114 services80 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
86 services71 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
36 services35 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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 Prathap Jayaram's NPI number?

The NPI number for Prathap Jayaram is 1881953628. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Prathap Jayaram located?

Prathap Jayaram practices at 11 Ortho Ln, Atlanta, GA 30329. The listed phone number is (410) 225-8790.

What is Prathap Jayaram's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Prathap Jayaram enrolled in Medicare?

Yes. Prathap Jayaram 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 Prathap Jayaram accept?

Health plans from Blue Cross and Blue Shield of Texas list Prathap Jayaram 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 Prathap Jayaram affiliated with any hospitals?

According to CMS data, Prathap Jayaram is affiliated with Emory University Hospital and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Prathap Jayaram was last updated on July 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.