Dinesh Jayadevappa (NPI# 1467427492, PAC ID# 7315012606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1467427492 |
| PAC ID by PECOS | 7315012606 |
| Professional Enrollment ID | I20100306000299 |
| Full Name | Dinesh Jayadevappa |
| Organization Legal Name | CLINIC FOR KIDNEY DISEASES PA |
| Address |
2585 Herschel St Jacksonville FL 32204-4557 |
| Phone Number | 9043882678 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5395772859 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100117 | BAPTIST MEDICAL CENTER BEACHES |
| 100179 | MEMORIAL HOSPITAL JACKSONVILLE |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 2585 Herschel St, Jacksonville, FL 32204-4557 | 9043882678 | CLINIC FOR KIDNEY DISEASES PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 100% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 99% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 8% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | CLINIC FOR KIDNEY DISEASES PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prasanth Krish | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Prabodh Ranjan | Internal Medicine | Clinic for Kidney Diseases Pa | 2061 Professional Ctr Dr, Orange Park, FL 32073-4461 |
| Nilay Nahar | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Shaun F Aure | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Gaurav Tandon | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Brijendra Gupta | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Gerard Ulric Martins | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Street Address |
2585 HERSCHEL ST |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prasanth Krish | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Nilay Nahar | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Shaun F Aure | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Gaurav Tandon | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Brijendra Gupta | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Gerard Ulric Martins | Nephrology | Clinic for Kidney Diseases Pa | 2585 Herschel St, Jacksonville, FL 32204-4557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | NEPHROLOGY |
| City + Specialty | JACKSONVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Dinesh Jayadevappa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.