NPIMap

Individual provider Active NPI

Jai Patel, MD

  • Family Medicine Physician
  • Shepherdsville, KY
National Provider Identifier
1295229854
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55252 Issued in KY
Practice address
438 Adam Shepherd Pkwy Ste 1
Shepherdsville, KY 40165-6640
Phone
(502) 543-1055
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116031805 VA
Family Medicine Physician 207Q00000X 55252 KY Primary

Addresses

Primary practice location

438 Adam Shepherd Pkwy Ste 1
Shepherdsville, KY 40165-6640

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherVIFAMILY MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727001670 KY Practitioner - Family Practice 4981954187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

438 Adam Shepherd Pkwy
Suite 1
Shepherdsville, KY 40165-6640
Phone (502) 543-1055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Community Medical Associates, Inc. Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients

Locations

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 769-2273

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9880 Angies Way
Ste 160
Louisville, KY 40241
Phone (502) 394-6333

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911

12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565

901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

150 Frankfort Rd
Ste 104A
Shelbyville, KY 40065
Phone (502) 844-2890

438 Adam Shepherd Pkwy
Ste 1
Shepherdsville, KY 40165
Phone (502) 543-1055

438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434

Interoperability endpoints

  • Direct secure messaging: jpatel212835@direct.nortonhealthcare.org

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 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1295229854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 ADAM SHEPHERD PKWY STE 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656640",
            "telephone_number": "502-543-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116031805",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "55252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "207Q00000X",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

Verify at the official NPI Registry.