Jaya M Pathapati, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5836T Issued in TX

Practice address

5221 S Coulter St
Amarillo, TX 79119-6676

Phone

(806) 358-3594

Fax

(806) 457-1660

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jaya M Pathapati 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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Eye Care Plus LLP

  • Optometrist
  • Amarillo, TX
  • NPI 1740200518

  TX

  Medicare reassignment Care Compare group Authorized official

Specialty

Optometry

Education

State University of New York - State College Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Plus LLP 5 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1235159013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196676",
            "telephone_number": "806-358-3594",
            "fax_number": "806-457-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 S COULTER ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196676",
            "telephone_number": "806-358-3594",
            "fax_number": "806-457-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAPATI",
        "first_name": "JAYA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5836T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "8F4674",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYA",
            "last_name": "PATHAPATI",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shrestha Dilipbhai Patel, D.O.
• Tanay M Patel, M.D.
• Vinodkumar Somabhai Patel, M.D.
• Viralkumar Naginbhai Patel, D.D.S.
• Kyndal Paterakis
• Srinivas Pathapati, MD
• Patrick Proffer, M.D.,P.a.
• Patriot Placement Recruitment LLC
• Emma Patterson
• Jill Boxwell Patterson, OT

• All providers in Amarillo, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.