Individual provider Active NPI

Jaismeen Nijjar, D.O.

  • Emergency Medicine Physician
  • Buda, TX
National Provider Identifier
1073969978
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R9825 Issued in TX
Practice address
5330 Overpass Rd
Buda, TX 78610-2300
Phone
(737) 999-6200
Fax
(737) 999-6201
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R9825 TX Primary

Addresses

Primary practice location

5330 Overpass Rd
Buda, TX 78610-2300

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnijjar508876@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619002107 TX Practitioner - Emergency Medicine 0840584017 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Emergency Medicine CurrentSince May 31, 2019 Accepting new patients
Scott & White Clinic Emergency Medicine Current Accepting new patients
Scott & White Hospital - Taylor CurrentSince Mar 18, 2023 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Scott & White Hospital - Taylor Current Accepting new patients
Scott and White Clinic Emergency Medicine CurrentSince May 31, 2019 Accepting new patients

Locations

5330 Overpass Rd
Buda, TX 78610
Phone (737) 999-6200

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

300 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

305 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: jnijjar508876@direct.sw.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1073969978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 OVERPASS RD",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786102300",
            "telephone_number": "737-999-6200",
            "fax_number": "737-999-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIJJAR",
        "first_name": "JAISMEEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R9825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnijjar508876@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5330 Overpass Rd",
            "city": "Buda",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786102300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buda, TX

Sources for this page

Verify at the official NPI Registry.