Skip to content
NPISignal

Individual Healthcare Provider

Jaya Prasad Shanmugam, MD

NPI Record: ActiveOrthopaedic Surgery — Sports Medicine
NPI1013466598
Bartlesville, Oklahoma

Provider's NPPES record last updated: November 7, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1013466598
Primary Specialty
Orthopaedic Surgery — Sports Medicine
Practice Location
Bartlesville, Oklahoma
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 4:23 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Orthopaedic Surgery

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

    Taxonomy code 207XX0005X
  • Orthopaedic Surgery

    Pediatric Orthopaedic Surgery

    Allopathic & Osteopathic Physicians

    An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

    Taxonomy code 207XP3100X
  • Orthopaedic Surgery

    Foot and Ankle Surgery

    Allopathic & Osteopathic Physicians

    Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

    Taxonomy code 207XX0004X

Provider-Reported License Information

Orthopaedic Surgery (Kansas)
04-43900
Orthopaedic Surgery (Louisiana)
310210
Orthopaedic Surgery (Iowa)
R-10460
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3400 E Frank Phillips Blvd Ste 301

Bartlesville, Oklahoma 74006-2439

Phone: (918) 582-6800

Additional Practice Location

200 Hawkins Dr

Department of Orthopaedics

Iowa City, Iowa 52242-1009

Phone: (319) 356-2223

Fax: (319) 353-6754

Additional Practice Location

203 Watson St Ste 300

Pratt, Kansas 67124-3092

Phone: (620) 672-1002

Fax: (620) 450-1741

Additional Practice Location

200 Commodore St

Pratt, Kansas 67124-2903

Phone: (620) 672-7451

Fax: (620) 672-2113

Additional Practice Location

1206 W Frontview St Ste 203

Dodge City, Kansas 67801-2095

Phone: (620) 225-7744

Fax: (620) 225-5522

Record Information

Enumeration Date
September 26, 2016
Provider's NPPES Record Last Updated
November 7, 2024
Certification Date
November 7, 2024
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue