Individual provider Active NPI

Patricia G. Jeffreys, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Live Oak, TX
National Provider Identifier
1235185877
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G2157 Issued in TX
Practice address
12412 Judson Rd
Live Oak, TX 78233-3255
Phone
(210) 637-2022
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G2157 TX Primary

Addresses

Primary practice location

12412 Judson Rd
Live Oak, TX 78233-3255

Mailing address

7418 John Smith
Suite 218
San Antonio, TX 78229-6020
Phone (210) 614-0959

Other identifiers 1

IdentifierTypeStateIssuer
8300M0OtherTXBCBS

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
I20100303000182 TX Practitioner - Pathology 1759426612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Louisiana State University School of Medicine in Shreveport, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Oaks Pathology Services, P.a.Group PAC ID 5597754507, 7 clinicians

Practice addresses (Care Compare)

3300 Nacogdoches Rd
Suite 110
San Antonio, TX 78217-3368
Phone (210) 614-0959

Hospital & facility affiliations

  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055
  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387

Merit-based Incentive Payment System (MIPS)

Final score
85 of 100Reported as group
Quality
69.99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Oaks Pathology Services, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Jan 20, 2010 Accepting new patients
Village Oaks Pathology Services, P. a. CurrentSince Jan 20, 2010 Accepting new patients

Locations

12315 Judson Rd
Ste 114
Live Oak, TX 78233
Phone (210) 646-0890

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

7418 John Smith Dr
Ste 218
San Antonio, TX 78229
Phone (210) 614-0950

3300 Nacogdoches Rd
Ste 110
San Antonio, TX 78217
Phone (210) 646-0890

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1235185877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 JOHN SMITH",
            "address_2": "SUITE 218",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296020",
            "telephone_number": "210-614-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12412 JUDSON RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333255",
            "telephone_number": "210-637-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREYS",
        "first_name": "PATRICIA",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "G2157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8300M0",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.