Individual provider Active NPI

Jacob Richard Battle, M.D.

  • Orthopaedic Surgery Physician
  • Gatesville, TX
National Provider Identifier
1477513190
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M1499 Issued in TX
Practice address
1507 W Main St
Gatesville, TX 76528-1024
Phone
(254) 865-2166
Fax
(254) 248-0626
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M1499 TX Primary

Addresses

Primary practice location

1507 W Main St
Gatesville, TX 76528-1024

Mailing address

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-2166

Other practice location 1

5100 Franklin Ave
Waco, TX 76710-6922
Phone (254) 865-2166

Other identifiers 1

IdentifierTypeStateIssuer
177955501MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbattle@ch.cernerdirect.com Direct

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
I20051109000844 TX Practitioner - Orthopedic Surgery 3971521782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coryell County Memorial Hospital AuthorityGroup PAC ID 7719886282, 39 clinicians

Practice addresses (Care Compare)

1507 W Main St
Gatesville, TX 76528-1098
Phone (254) 865-8251

Hospital & facility affiliations

  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Goodall Witcher Hospital Hospital, Clifton, TX, CCN 451385
  • Ascension Providence Hospital, Waco, TX, CCN 450042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1499TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coryell County Memorial Hospital Authority CurrentSince May 1, 2018 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince May 1, 2018 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients

Locations

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

Interoperability endpoints

  • Direct secure messaging: drjbattle@cmhs.securechart.com

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 3

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1477513190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767106922",
            "country_code": "US",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "JACOB",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177955501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbattle@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

Verify at the official NPI Registry.