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

Jayasri Indaram, MD

Individual provider Allergy & Immunology Physician · NPI 1255331302

Jayasri Indaram, MD is an Allergy/Immunology in Ozone Park, New York. Qualified in 1983, 43 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
43
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9709 101st Ave
Ozone Park, NY 11416-2523
Phone: (718) 641-5555
Fax: (718) 641-6677
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 193883 (NY)

Record details

NPI number1255331302
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 29, 2005
Last updated in NPPESDecember 5, 2013
Mailing address10 Carriage Dr, Old Westbury, NY 11568-1323

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount