Jagdish A Patel, M.D.

Key facts

NPI

1407897481

Entity type

Individual (NPI type 1)

Primary specialty

Adult Medicine Physician 207QA0505X

License

A31816 (CA)

Practice address

644 W 12TH St
Tracy, CA 95376-3437

Phone

(209) 832-8984

Fax

(209) 832-8988

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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.

• Patel & Pulliam Apmc Family Medicine Physician · Tracy, CA · NPI 1568522878
  Medicare reassignment Care Compare group Authorized official CA
• Hill Physicians Medical Group - PPO Program Preferred Provider Organization · San Ramon, CA · NPI 1679011035
  NPD (past)

Hospital & facility affiliations 4

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

• Atmc LLC Skilled Nursing Facility · Tracy, CA · NPI 1972865301
  Care Compare affiliation Nursing home
• Sutter Valley Hospitals General Acute Care Hospital · Tracy, CA · NPI 1821442864
  Care Compare affiliation Hospital
• Sutter Visiting Nurse Association and Hospice Home Health Agency · Salida, CA · NPI 1972876506
  Care Compare affiliation Home health agency
• Warm Springs Home Health, Inc. Home Health Agency · Fremont, CA · NPI 1790701175
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Family Practice

Education

Other, 1974

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Premier Urgent Care a Professional Medical Corporation (2 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Care at Home Home health agency · Salida, CA · CCN 057695
• Warm Springs Home Health, Inc Home health agency · Fremont, CA · CCN 058425
• Sutter Tracy Community Hospital Hospital · Tracy, CA · CCN 050313
• Tracy Nursing and Rehabilitation Center Nursing home · Tracy, CA · CCN 555080

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 2)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jpatel95591@hisp.ehr.sutterhealth.org
• Direct secure messaging: jagdish.patel@pmd.directbygreenway.com
• Direct secure messaging: jpatel15111@hpmg.direct-ci.net

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1407897481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W 12TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763437",
            "telephone_number": "209-832-8984",
            "fax_number": "209-832-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 W 12TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763437",
            "telephone_number": "209-832-8984",
            "fax_number": "209-832-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAGDISH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A31816",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A31816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A31816",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

• Andrea Parra Guillen
• Ushma Patadia
• Patel & Pulliam Apmc
• Amrita Patel
• Babubhai M. Patel, M.D.
• Nisarg Patel, RPH
• Pranjalkumar H Patel, M.D.
• Ripal Rajeshbhai Patel
• Sunil H Patel, MD
• Andrea Patnaude

All providers in Tracy, CA · Adult Medicine Physician in California