Individual provider Active NPI

Jahanzeb Effendi, M.D.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1366977555
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U1888 Issued in TX
Practice address
4502 Medical Dr.
University Health System, Professional Staff Services
San Antonio, TX 78229
Phone
(210) 358-4000
NPI assigned
Apr 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U1888 TX Primary

Addresses

Primary practice location

4502 Medical Dr.
University Health System, Professional Staff Services
San Antonio, TX 78229

Mailing address

7703 Floyd Curl Dr., MC 7742
Uthscsa, Dept. of Surgery
San Antonio, TX 78229
Phone (210) 567-5711

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
I20230519000184 TX Practitioner - General Surgery 4587934591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PRMC Healthcare Group, Inc.Group PAC ID 6406919901, 41 clinicians

Practice addresses (Care Compare)

865 Deshong Dr
Paris, TX 75460-9313
Phone (903) 737-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy54
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PRMC Healthcare Group Inc CurrentSince Jun 1, 2023 Accepting new patients
PRMC Healthcare Group Inc Surgery CurrentSince Jun 1, 2023 Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

2850 Lewis Ln
Ste 103
Paris, TX 75460
Phone (903) 737-1680

2870 Lewis Ln
Ste 220
Paris, TX 75460
Phone (903) 739-7830

865 Deshong Dr
Paris, TX 75460
Phone (903) 731-1111

2850 Lewis Ln
Ste 111
Paris, TX 75460
Phone (903) 785-0025

Interoperability endpoints

  • Direct secure messaging: jahanzeb.effendi.1@1744.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4

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 1

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1366977555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR., MC 7742",
            "address_2": "UTHSCSA, DEPT. OF SURGERY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-567-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR.",
            "address_2": "UNIVERSITY HEALTH SYSTEM, PROFESSIONAL STAFF SERVICES",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFENDI",
        "first_name": "JAHANZEB",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U1888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.