JAYADEVAN KUNDUMADATHIL (MD) – Internal Medicine Physician, NPI 1912968918

JAYADEVAN KUNDUMADATHIL (MD) is a healthcare provider. based in Indialantic, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME78547 (FL). The NPI Number for JAYADEVAN KUNDUMADATHIL (MD) is 1912968918

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
JAYADEVAN KUNDUMADATHIL (MD)
NPI
1912968918
Phone
(321) 473-8974
Address
406 5TH AVE
Enumeration Date
29 March 2006
Last Update Date
24 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3214738974
Graduation Year
1989 (37 years ago)
PAC ID
6204969413
Group Practice PAC ID
8022141233
Professional Enrollment ID
I20100809000232
Address ID
FL329034280IN406XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for JAYADEVAN KUNDUMADATHIL (MD)

  • North Miramar Avenue/5th Avenue (North East Corner), North Miramar Avenue, Indialantic, Brevard County, Florida, 32903, United States

    INDIALANTIC, FL 329034280

    Phone: (321) 473-8974

    Fax: (321) 473-8976

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $477.

Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Novo Nordisk Inc ($231).

Total Amount

$477

General + Research + Ownership

Payments

27

Total payment records

General Amount

$477

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100809000232IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes916299$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit157157$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1716$0
View full utilization report →

Insurance plans in this area (ZIP 32903)

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Provider's Procedures

JAYADEVAN KUNDUMADATHIL (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL81002Urinalysis, manual test2926

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022141233View full group profile
NameSpecialtyState
Internal MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for JAYADEVAN KUNDUMADATHIL (MD) in the U.S.?
In the U.S., JAYADEVAN KUNDUMADATHIL (MD) is identified by NPI 1912968918.
Should I treat JAYADEVAN KUNDUMADATHIL (MD) as an active provider?
Patients and plans typically see JAYADEVAN KUNDUMADATHIL (MD) as active in the national extract.
How should patients interpret JAYADEVAN KUNDUMADATHIL (MD)'s specialty?
The extract shows Internal Medicine Physician for JAYADEVAN KUNDUMADATHIL (MD). Clinical services aligned with this taxonomy classification.
Is JAYADEVAN KUNDUMADATHIL (MD) tied to Indialantic, Florida?
If you are local to Indialantic, Florida, JAYADEVAN KUNDUMADATHIL (MD) may be relevant to your search.
Who maintains JAYADEVAN KUNDUMADATHIL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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