Individual provider Active NPI

Jay Mahendra Patel, MD, PHD

  • Dermatology Physician
  • Rockwall, TX
National Provider Identifier
1194303396
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
V7044 Issued in TX
Practice address
1005 W Ralph Hall Pkwy Ste 207
Rockwall, TX 75032-6662
Phone
(972) 842-4236
NPI assigned
Mar 30, 2021
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X V7044 TX
Dermatology Physician 207N00000X V7044 TX Primary

Addresses

Primary practice location

1005 W Ralph Hall Pkwy Ste 207
Rockwall, TX 75032-6662

Mailing address

1005 W Ralph Hall Pkwy Ste 207
Rockwall, TX 75032-6662

Other practice location 1

22999 Highway 59 N Ste 105
Kingwood, TX 77339-4412
Phone (281) 348-8000

Other practice location 2

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 648-3111

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
I20250321001699 TX Practitioner - Dermatology 3678972866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bare Derm Group IncGroup PAC ID 3274903307, 16 clinicians

Practice addresses (Care Compare)

1005 W Ralph Hall Pkwy
Suite 207
Rockwall, TX 75032-6662
Phone (972) 483-9228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of skin lesions160
Skin biopsy77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bare Derm Group Inc Dermatology CurrentSince Apr 1, 2025 Accepting new patients
Derm Texas LLC Dermatology PastSince Jul 20, 2021 Accepting new patients

Locations

2110 Research Row
Ste 310
Dallas, TX 75235
Phone (972) 797-9297

27045 E University Dr
Ste 1A
Little Elm, TX 76227
Phone (972) 213-6210

1005 W Ralph Hall Pkwy
Ste 207
Rockwall, TX 75032
Phone (972) 483-9228

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1194303396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 207",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 207",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326662",
            "telephone_number": "972-842-4236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22999 Highway 59 N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773394412",
            "country_code": "US",
            "telephone_number": "281-348-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "V7044",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "V7044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.