Individual provider Active NPI

Jigar Patel, M.D.

  • Psychiatry Physician
  • Georgetown, TX
National Provider Identifier
1558895771
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S8230 Issued in TX
Practice address
3101 S Austin Ave
Georgetown, TX 78626
Phone
(248) 905-5091
NPI assigned
Apr 13, 2017
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME155904 FL
Psychiatry Physician 2084P0800X S8230 TX Primary

Addresses

Primary practice location

3101 S Austin Ave
Georgetown, TX 78626

Mailing address

1450 W Long Lake Rd Ste 340
Troy, MI 48098-6330
Phone (248) 905-5091

Other practice location 1

15141 Ronald Reagan Blvd
Unit # 509
Leander, TX 78641
Phone (512) 522-8812

Other practice location 2

12550 W. Hwy 29
Liberty Hill, TX 78642
Phone (512) 522-8812

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
I20240503000147 TX Practitioner - Psychiatry 4082986823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Psychiatric ServicesGroup PAC ID 9335522218, 8 clinicians

Practice addresses (Care Compare)

3101 S Austin Ave
Georgetown, TX 78626-7541
Phone (512) 829-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155904FLMDPsychiatry Physician
S8230TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Psychiatric Services Psychiatry CurrentSince Nov 1, 2024 Accepting new patients
Tri-County Clinical Current Accepting new patients
Tri-County Clinical CurrentSince Feb 27, 2024 Accepting new patients
Georgetown Behavioral Health Institute, LLC Past Accepting new patients

Locations

1450 W Long Lake Rd
Ste 340
Troy, MI 48098
Phone (248) 839-5381

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1558895771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W LONG LAKE RD STE 340",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986330",
            "telephone_number": "248-905-5091",
            "fax_number": "248-905-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S AUSTIN AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "248-905-5091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15141 Ronald Reagan Blvd",
            "address_2": "Unit # 509",
            "address_purpose": "LOCATION",
            "city": "Leander",
            "state": "TX",
            "postal_code": "78641",
            "country_code": "US",
            "telephone_number": "512-522-8812",
            "fax_number": "512-638-8812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12550 W. Hwy 29",
            "address_purpose": "LOCATION",
            "city": "Liberty Hill",
            "state": "TX",
            "postal_code": "78642",
            "country_code": "US",
            "telephone_number": "512-522-8812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JIGAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME155904",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S8230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.