JEYAKUMAR KANDARAJ (MD) – Internal Medicine Physician, NPI 1306830104

JEYAKUMAR KANDARAJ (MD) is a healthcare provider. based in Appleton, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 40762 (WI). The NPI Number for JEYAKUMAR KANDARAJ (MD) is 1306830104

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JEYAKUMAR KANDARAJ (MD)
NPI
1306830104
Phone
(920) 738-2000
Address
1506 S ONEIDA ST
Enumeration Date
7 September 2005
Last Update Date
11 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2145921329
Graduation Year
1987 (39 years ago)
PAC ID
8628108016
Group Practice PAC ID
4688021983
Professional Enrollment ID
I20150509000055
Address ID
NH030603648NA172XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,941 INTERNAL MEDICINE in WI

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Provider Addresses for JEYAKUMAR KANDARAJ (MD)

  • Ascension Saint Elizabeth Hospital, 1506, South Oneida Street, Appleton, Outagamie County, Wisconsin, 54915, United States

    APPLETON, WI 549151305

    Phone: (920) 738-2000

    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 8 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($88).

Total Amount

$163

General + Research + Ownership

Payments

8

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

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: 2015-05-09

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
I20150509000055IInternal MedicineNHTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes627186$0
99239Hospital discharge day management, more than 30 minutes140134$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 54915)

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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: 4688021983View full group profile
NameSpecialtyState
Physician AssistantNH
Internal MedicineNH
Nurse PractitionerNH
Internal MedicineNH
Family PracticeNH
Internal MedicineNH
Internal MedicineNH
Nurse PractitionerNH
Emergency Medicine, Family PracticeMI
Internal Medicine, Family PracticeNH

Reviews

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Frequently asked questions

Where can patients find JEYAKUMAR KANDARAJ (MD)'s NPI?
You can confirm JEYAKUMAR KANDARAJ (MD) with NPI 1306830104; it appears in the national provider directory.
Does this profile mean JEYAKUMAR KANDARAJ (MD) is currently active?
Yes — JEYAKUMAR KANDARAJ (MD) appears active in the national provider directory.
Does JEYAKUMAR KANDARAJ (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for JEYAKUMAR KANDARAJ (MD). Clinical services aligned with this taxonomy classification.
What location shows for JEYAKUMAR KANDARAJ (MD)?
We surface Appleton, Wisconsin for JEYAKUMAR KANDARAJ (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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