Jay Bhagwan Italiya, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

S6417 Issued in TX

Practice address

13747 Montfort Dr Ste 320
Dallas, TX 75240-4454

Phone

(469) 306-9764

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jay Bhagwan Patel Former name

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

Psychiatry

Education

Texas Tech University Health Science Center School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mosaic Behavioral Health, LLCGroup PAC ID 3678921269, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jitaliya81098@direct.phhs.org

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.

• Mosaic Behavioral Health, LLC

  • Psychiatry Physician
  • Plano, TX
  • NPI 1720788755
  Medicare reassignment Care Compare group NPD Authorized official
• Jay Italiya, MD, PLLC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1699485284
  NPD Authorized official
• Inspire Health PLLC

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1477107522
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1194221606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404454",
            "telephone_number": "469-306-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Tennyson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750247151",
            "country_code": "US",
            "telephone_number": "469-361-0467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITALIYA",
        "first_name": "JAY",
        "middle_name": "BHAGWAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S6417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "PATEL",
            "middle_name": "BHAGWAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nimmy Elza Issac
• Tim T Issac, M.D.
• Nasira Queen Issaka, FNP
• Ali Link Istre, CRNA
• Martha Isuo
• Kamel Muhieddine Itani, MD
• Samantha Ito, RD
• Willian Eduardo Ito, MD
• Justin Ngulah Itoe
• Abraham Itty, D.M.D

• Psychiatry Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.