Active NPI
Michael T. Jarratt, M.D.
- Dermatology Physician
- Austin, TX
National Provider Identifier
1114909157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D3279
- Practice address
- 8140 N Mopac Expy
3-130
Austin, TX 78759-8837 - Phone
- (512) 345-1350
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D3279 | TX | Primary |
Addresses
Primary practice location
8140 N Mopac Expy
3-130
Austin, TX 78759-8837
Mailing address
8140 N Mopac Expy
3-130
Austin, TX 78759-8837
Phone (512) 345-1350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00L05Y | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D3279 | TX | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1114909157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8140 N MOPAC EXPY",
"address_2": "3-130",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598837",
"telephone_number": "512-345-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8140 N MOPAC EXPY",
"address_2": "3-130",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598837",
"telephone_number": "512-345-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARRATT",
"first_name": "MICHAEL",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "D3279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00L05Y",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.