Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaya Durvasula

Individual provider Family Medicine Physician · NPI 1386209906

Jaya Durvasula is a Family Practice in Andover, Minnesota. Qualified in 1998, 28 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
28
Licensed in
MN
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15245 Bluebird St NW
Andover, MN 55304-3538
Phone: (763) 587-4600
Fax: (763) 587-4615
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 71239 (MN)

Record details

NPI number1386209906
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2019
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Andover