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

Jerry Kulangara John

Individual provider Physician Assistant · NPI 1285377457

Jerry Kulangara John is a Physician Assistant in Bedford, Texas. Qualified in 2022, 4 years ago. Practices with Epiphany Dermatology PA, a 107-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1615 Hospital Pkwy Ste 306
Bedford, TX 76022-5936
Phone: (512) 628-0465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285377457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Epiphany Dermatology Pa — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Bedford