Individual provider Active NPI

Anjali Patel, OD

  • Optometrist
  • Austin, TX
National Provider Identifier
1578438826
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11480 Issued in TX
Practice address
3913 Medical Pkwy Ste 100
Austin, TX 78756-4016
Phone
(512) 323-9669
Fax
(512) 452-0015
NPI assigned
Oct 7, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11480 TX Primary

Addresses

Primary practice location

3913 Medical Pkwy Ste 100
Austin, TX 78756-4016

Mailing address

3913 Medical Pkwy Ste 100
Austin, TX 78756-4016
Phone (512) 323-9669

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104000406 TX Practitioner - Optometry 7315437993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M D Jackman OD and Associates PLLCGroup PAC ID 1951563667, 4 clinicians

Practice addresses (Care Compare)

3913 Medical Pkwy
Suite 100
Austin, TX 78756-4016
Phone (512) 323-9669

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11480TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
M D Jackman OD & Associates PLLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients

Locations

3913 Medical Pkwy
Ste 100
Austin, TX 78756
Phone (512) 323-9669

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, 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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1578438826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 MEDICAL PKWY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564016",
            "telephone_number": "512-323-9669",
            "fax_number": "512-452-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 MEDICAL PKWY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564016",
            "telephone_number": "512-323-9669",
            "fax_number": "512-452-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANJALI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.