KANDASWAMY JAYARAJ MD PA – Endocrinology, Diabetes & Metabolism Physician, NPI 1043218514
Endocrinology, Diabetes & Metabolism Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KANDASWAMY JAYARAJ MD PA
3030, North Street, Beaumont, Jefferson County, Texas, 77702, United States
#310
BEAUMONT, TX 777021433
Phone: (409) 892-2111
Fax: (409) 892-2173
Type: Location
PO BOX 12499
3030 N ST #310
BEAUMONT, TX 777262499
Phone: (409) 892-2111
Fax: (409) 892-2173
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (113 days away).
Enrollment records
1
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041020000626 | O | Clinic/Group Practice | TX | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77702)
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