Individual provider Active NPI

Dip Sureshkumar Jadav, M.D.

  • Ophthalmology Physician
  • Sugar Land, TX
National Provider Identifier
1497908883
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P6649 Issued in TX
Practice address
3507 Town Center Blvd S
Sugar Land, TX 77479-2654
Phone
(281) 242-1242
Fax
(281) 886-8687
NPI assigned
Oct 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P6649 TX Primary

Addresses

Primary practice location

3507 Town Center Blvd S
Sugar Land, TX 77479-2654

Mailing address

PO Box 16789
Sugar Land, TX 77496-6789
Phone (281) 242-1242

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
I20131122000678 TX Practitioner - Ophthalmology 2163671496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas a & M University System, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3507 Town Ctr Blvd S
Suite B
Sugar Land, TX 77479-2655
Phone (281) 242-1242

Merit-based Incentive Payment System (MIPS)

Final score
97.99 of 100Reported as individual
Quality
95.98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery763

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Outlook Eye and Laser Center Ophthalmology CurrentSince Oct 6, 2013 Accepting new patients

Locations

3507 Town Center Blvd S
Sugar Land, TX 77479
Phone (281) 242-1242

3507 Town Center Blvd S
Ste B
Sugar Land, TX 77479
Phone (281) 242-1242

Interoperability endpoints

  • Direct secure messaging: djadav27571@directhoustonmethodist.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497908883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16789",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774966789",
            "telephone_number": "281-242-1242",
            "fax_number": "281-886-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 TOWN CENTER BLVD S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792654",
            "telephone_number": "281-242-1242",
            "fax_number": "281-886-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADAV",
        "first_name": "DIP",
        "middle_name": "SURESHKUMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P6649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.