Individual provider Active NPI

Jayesh J Patel, MD

  • Internal Medicine Physician
  • Fairfield, CA
National Provider Identifier
1427079169
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A72056 Issued in CA
Practice address
1261 Travis Blvd
Ste. 320
Fairfield, CA 94533-4897
Phone
(707) 423-2506
Fax
(707) 425-4236
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72056 CA Primary

Addresses

Primary practice location

1261 Travis Blvd
Ste. 320
Fairfield, CA 94533-4897

Mailing address

1261 Travis Blvd
Ste. 320
Fairfield, CA 94533-4897
Phone (707) 423-2506

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040914000650 CA Practitioner - Internal Medicine 3678540127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1261 Travis Blvd
Fairfield, CA 94533-4800
Phone (707) 423-2506

Hospital & facility affiliations

  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Angelcare Home Health Services, LLC Home health agency, Milpitas, CA, CCN 053162
  • Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
  • Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

Merit-based Incentive Payment System (MIPS)

Final score
38.27 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
86.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jayesh J. Patel M.D. Inc Internal Medicine CurrentSince Jul 23, 2004 Accepting new patients

Locations

1261 Travis Blvd
Ste 320
Fairfield, CA 94533
Phone (707) 423-2506

Organizations & group practices 1

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 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1427079169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "STE. 320",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334897",
            "telephone_number": "707-423-2506",
            "fax_number": "707-425-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "STE. 320",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334897",
            "telephone_number": "707-423-2506",
            "fax_number": "707-425-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYESH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.