Individual provider Active NPI

Nistha Jajal, M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1194172205
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S9318 Issued in TX
Practice address
11212 TX 151
Medical Plaza 2, Suite 350
San Antonio, TX 78251
Phone
(210) 281-5066
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X S9318 TX Primary

Addresses

Primary practice location

11212 TX 151
Medical Plaza 2, Suite 350
San Antonio, TX 78251

Mailing address

11212 TX 151
Medical Plaza 2, Suite 350
San Antonio, TX 78251
Phone (210) 281-5066

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
I20210809002272 TX Practitioner - Obstetrics/Gynecology 6406192186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo Women'S Obstetrics and Gynecology, PLLCGroup PAC ID 0941587836, 5 clinicians

Practice addresses (Care Compare)

5616 Lone Star Pkwy
Suite 103
San Antonio, TX 78253-2201
Phone (210) 281-5066

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Women'S Obstetrics & Gynecology, PLLC Obstetrics & Gynecology CurrentSince Jun 21, 2021 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients

Locations

11212 State Highway 151
Ste 350
San Antonio, TX 78251
Phone (210) 281-5066

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 and National Provider Directory roles.

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1194172205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 TX 151",
            "address_2": "MEDICAL PLAZA 2, SUITE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-281-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 TX 151",
            "address_2": "MEDICAL PLAZA 2, SUITE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-281-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAJAL",
        "first_name": "NISTHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S9318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.