DR. JAI H GILLIAM (M.D.) – Internal Medicine Physician, NPI 1558404343

DR. JAI H GILLIAM (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 39604 (KY). The NPI Number for DR. JAI H GILLIAM (M.D.) is 1558404343

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAI H GILLIAM (M.D.)
NPI
1558404343
Phone
(859) 971-4685
Address
PO BOX 910670
Enumeration Date
14 February 2007
Last Update Date
9 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8594021220
Graduation Year
2001 (25 years ago)
PAC ID
1850316639
Group Practice PAC ID
0143139337
Professional Enrollment ID
I20051011000494
Address ID
KY405031403LE1713XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
jgilliam6912@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,223 INTERNAL MEDICINE in KY

Provider Addresses for DR. JAI H GILLIAM (M.D.)

  • PO BOX 910670

    LEXINGTON, KY 405910670

    Phone: (859) 971-4685

    Fax: (859) 971-4602

    Type: Mailing

  • 100 PROVIDENCE WAY

    SUITE 200

    NICHOLASVILLE, KY 403566031

    Phone: (859) 260-5370

    Fax: (859) 260-5379

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $2,587.

Total Amount is formed as General ($2,587) + Research ($0) + Ownership ($0) = $2,587.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lilly USA, LLC ($601).

Total Amount

$2,587

General + Research + Ownership

Payments

149

Total payment records

General Amount

$2,587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-10-11

PECOS data refreshed: 2026-06-15

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
I20051011000494IInternal MedicineKYTBD

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 minutes11072$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6262$0
36415Insertion of needle into vein for collection of blood sample6151$0
99213Established patient office or other outpatient visit, 20-29 minutes5139$0
83036Hemoglobin a1c level3327$0
View full utilization report →

Insurance plans in this area (ZIP 40591)

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Provider's Procedures

DR. JAI H GILLIAM (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY83036Hemoglobin A1C level4428

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: 0143139337View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O S U R G E R YKY
-KY
Family PracticeKY
Pain ManagementKY
N E U R O S U R G E R YKY
Orthopedic SurgeryKY
Nurse PractitionerKY
N E U R O L O G YKY
Orthopedic SurgeryKY

Reviews

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Frequently asked questions

Can I verify DR. JAI H GILLIAM (M.D.) with an NPI only?
You can start verification with NPI 1558404343 for DR. JAI H GILLIAM (M.D.), then check state licensing separately.
Can I rely on DR. JAI H GILLIAM (M.D.) being an active provider?
As of the registry snapshot, DR. JAI H GILLIAM (M.D.) is marked active.
What taxonomy line describes DR. JAI H GILLIAM (M.D.)?
For research purposes, treat DR. JAI H GILLIAM (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. JAI H GILLIAM (M.D.) based?
DR. JAI H GILLIAM (M.D.) is tied to Lexington, Kentucky in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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