Individual provider Active NPI

Chirag Dilip Jhaveri, M.D.

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1114117769
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P3901 Issued in TX
Practice address
3705 Medical Pkwy Ste 460
Austin, TX 78705-1024
Phone
(512) 454-5851
Fax
(512) 454-5853
NPI assigned
Jul 30, 2007
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036125974 IL
Ophthalmology Physician 207W00000X P3901 TX Primary
Ophthalmology Physician 207W00000X MD.201807 LA

Addresses

Primary practice location

3705 Medical Pkwy Ste 460
Austin, TX 78705-1024

Mailing address

3705 Medical Pkwy Ste 460
Austin, TX 78705-1024
Phone (512) 454-5851

Other identifiers 1

IdentifierTypeStateIssuer
1005886MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjhaveri@eretina.intellechartdirect.net

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
I20120727000415 TX Practitioner - OphthalmologyPractitioner - Other (Physician) 1456548296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants of Austin PAGroup PAC ID 9830198555, 3 clinicians

Practice addresses (Care Compare)

1880 Round Rock Ave
Suite 300
Round Rock, TX 78681-4085
Phone (512) 454-5851

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.201807LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants of Austin, PA Ophthalmology CurrentSince Aug 11, 2012 Accepting new patients
Brian B. Berger Current Accepting new patients
Glaucoma Institute of Austin PA Ophthalmology PastSince Aug 11, 2012 Accepting new patients

Locations

2500 W William Cannon Dr
Ste 801
Austin, TX 78745
Phone (512) 454-5851

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

3705 Medical Pkwy
Ste 460
Austin, TX 78705
Phone (512) 454-5851

1880 Round Rock Ave
Ste 300
Round Rock, TX 78681
Phone (512) 454-5851

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1114117769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 460",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-454-5851",
            "fax_number": "512-454-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 460",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-454-5851",
            "fax_number": "512-454-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAVERI",
        "first_name": "CHIRAG",
        "middle_name": "DILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036125974",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P3901",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.201807",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005886",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjhaveri@eretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "3705 Medical Pkwy Ste 460",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787051024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.