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JAYANTHI SIVASOTHY LEA MD NPI 1912963497


NPI Information

NPI: 1912963497
Provider Name: JAYANTHI SIVASOTHY LEA, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

PECOS Registration: Yes

Address:
5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 645-3838
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Jayanthi Sivasothy Lea, MD is a gynecologic oncology obstetrics gynecology in Dallas, TX with 28 years of experience. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. Jayanthi Sivasothy Lea, MD NPI is 1912963497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:1996

The provider's business location address is:

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390-208
Phone: (214) 645-3838
Fax: (214) 645-3839

The NPI 1912963497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a (HCPCS:G9678)

The enumeration date for this NPI number is 4/25/2006 and was last updated on 12/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic Oncology2008-00694NORTH CAROLINANo
2207V00000XObstetrics & Gynecology2008-00694NORTH CAROLINANo
3207V00000XObstetrics & GynecologyK9833TEXASNo
4207VX0201XObstetrics & GynecologyGynecologic OncologyK9833TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12008-00694OTHERNORTH CAROLINASTATE LICENSE
2165917901MEDICAIDTEXAS
32022782MEDICARE PINNORTH CAROLINA
48B9714MEDICARE ID-TYPE UNSPECIFIEDTEXAS
5N94008OTHERSOUTH CAROLINASC MEDICAID
6P95989MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.