Active NPI
Jaya D Bathina, MD
- Cardiovascular Disease Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R5357
- Practice address
- 1400 S Main St FL 1
Fort Worth, TX 76104-4909 - Phone
- (817) 702-6926
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2015-0139 | NM | |
| Cardiovascular Disease Physician | 207RC0000X | MD2015-0139 | NM | |
| Cardiovascular Disease Physician | 207RC0000X | R5357 | TX | Primary |
Addresses
Primary practice location
1400 S Main St FL 1
Fort Worth, TX 76104-4909
Mailing address
PO Box 732973
Dallas, TX 75373-6666
Phone (817) 702-2450
Other practice location 1
2200 W 21st St
Clovis, NM 88101-2011
Phone (575) 769-2141
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 W Arkansas LN
Arlington, TX 76013-6308
Phone (817) 702-1100
1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701
1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701
1400 S Main St
Fort Worth, TX 76104-4909
1500 S Main St
Fort Worth, TX 76104-4917
1500 S Main St FL
1 Urgent Care Center
Fort Worth, TX 76104-4917
Phone (817) 702-1451
3200 W Euless Blvd
Euless, TX 76040-6253
Phone (817) 702-1100
4300 Punjab Way
Suite 160 Daffodil Primary Care and Cardio
Frisco, TX 75033-0382
Phone (469) 649-9968
Hospital & facility affiliations
- JPS Health Network
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Internal Medicine | Current | Accepting new patients |
| Old McDonald Health Care Services PA | Internal Medicine | Current | Accepting new patients |
Locations
1050 W Arkansas Ln
Arlington, TX 76013
Phone (817) 277-6555
3200 W Euless Blvd
Euless, TX 76040
Phone (817) 702-6474
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1400 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-6926
4300 Punjab Way
Ste 160
Frisco, TX 75033
Phone (469) 649-9968
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
8720 Silverado Trl
Ste 3D
McKinney, TX 75070
Phone (972) 752-8118
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCEGDD/Endpoint/BCEGDD
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Internal Medicine Physician
- Frisco, TX
- NPI 1437912433
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1407086705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732973",
"city": "DALLAS",
"state": "TX",
"postal_code": "753736666",
"telephone_number": "817-702-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S MAIN ST FL 1",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044909",
"telephone_number": "817-702-6926"
}
],
"practiceLocations": [
{
"address_1": "2200 W 21st St",
"address_purpose": "LOCATION",
"city": "Clovis",
"state": "NM",
"postal_code": "881012011",
"country_code": "US",
"telephone_number": "575-769-2141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATHINA",
"first_name": "JAYA",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2015-0139",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NM",
"license": "MD2015-0139",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "R5357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.