Individual provider Active NPI

Jayantilal J Bathani, MD

  • Pediatric Adolescent Medicine Physician
  • Paw Paw, MI
National Provider Identifier
1528029568
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
4301038435 Issued in MI
Practice address
505 Hazen St
Ste 203
Paw Paw, MI 49079
Phone
(269) 657-5545
Fax
(269) 657-8776
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 4301038435 MI Primary

Addresses

Primary practice location

505 Hazen St
Ste 203
Paw Paw, MI 49079

Mailing address

505 Hazen St
Ste 203
Paw Paw, MI 49079
Phone (269) 657-5545

Other names 1

  • Jay J Bathani Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301038435MIMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528029568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 HAZEN ST",
            "address_2": "STE 203",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "49079",
            "telephone_number": "269-657-5545",
            "fax_number": "269-657-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 HAZEN ST",
            "address_2": "STE 203",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "49079",
            "telephone_number": "269-657-5545",
            "fax_number": "269-657-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHANI",
        "first_name": "JAYANTILAL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MI",
            "license": "4301038435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "BATHANI",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paw Paw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.