Palashkumar Shaileshkumar Jaiswal, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

S9317 Issued in TX

Practice address

1104 Brook Ave
Wichita Falls, TX 76301-5049

Phone

(940) 687-6870

Fax

(940) 687-6871

NPI assigned

Jun 3, 2015

Last updated

Apr 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wichita Falls Gastroenterology AssociatesGroup PAC ID 4183635899, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
• Graham Regional Medical Center Hospital, Graham, TX, CCN 671300

Merit-based Incentive Payment System (MIPS)

Final score

21.49 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

71.62

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: pjaiswal@wfga-tx.direct.office.nextgen.com
• Direct secure messaging: pjaiswal61514@unitedregional.medalliesdirect.net

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.

• Wichita Falls Gastroenterology Associates

  • Gastroenterology Physician
  • Wichita Falls, TX
  • NPI 1265489298
  Medicare reassignment Care Compare group NPD
• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

• Graham Hospital District

  dba Graham Regional Medical Center

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983
  Care Compare affiliation
• United Regional Health Care System Inc

  dba United Regional Heath Care System

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1184004301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015049",
            "telephone_number": "940-687-6870",
            "fax_number": "940-687-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015049",
            "telephone_number": "940-687-6870",
            "fax_number": "940-687-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "SUNY Downstate Medical Center",
            "address_2": "450 Clarkson Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11203",
            "country_code": "US",
            "telephone_number": "708-830-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123714",
            "country_code": "US",
            "telephone_number": "312-864-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAISWAL",
        "first_name": "PALASHKUMAR",
        "middle_name": "SHAILESHKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125066618",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "S9317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Jackson
• Tamitha Anne Jackson, RBT
• Vicki Elizabeth Jackson, FNP-C
• Jaime C. Lim MD PLLC
• Jaime Lim MD PA
• Radhika Jaiswal
• Maddison A Jalowy
• James R. Green D.D.S,PA
• Alysha James
• Debbie Ann James, LVN

• Gastroenterology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.