Jagdish A Patel, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A31816 Issued in CA

Practice address

644 W 12TH St
Tracy, CA 95376-3437

Phone

(209) 832-8984

Fax

(209) 832-8988

NPI assigned

Jun 9, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Family Practice

Education

Other, 1974

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Premier Urgent Care a Professional Medical CorporationGroup PAC ID 6507893104, 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 enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Patel & Pulliam Apmc

  dba Tracy Occupational Medical Center

  • Family Medicine Physician
  • Tracy, CA
  • NPI 1568522878
  Medicare reassignment Care Compare group Authorized official
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)

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

• Atmc LLC

  dba Tracy Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Tracy, CA
  • NPI 1972865301

  Nursing home

  Care Compare affiliation
• Sutter Valley Hospitals

  dba Sutter Tracy Community Hospital

  • General Acute Care Hospital
  • Tracy, CA
  • NPI 1821442864
  Care Compare affiliation
• Sutter Visiting Nurse Association and Hospice

  dba Sutter Care at Home

  • Home Health Agency
  • Salida, CA
  • NPI 1972876506
  Care Compare affiliation
• Warm Springs Home Health, Inc.

  • Home Health Agency
  • Fremont, CA
  • NPI 1790701175
  Care Compare affiliation

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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

• Adult Medicine Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.