Individual provider Active NPI

Priti Suresh Jadav, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1609806793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J7015 Issued in TX
Practice address
3507 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone
(281) 980-2599
Fax
(281) 980-3883
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J7015 TX Primary

Addresses

Primary practice location

3507 Town Center Blvd S
Sugar Land, TX 77479-1285

Mailing address

3507 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone (281) 980-2599

Other identifiers 1

IdentifierTypeStateIssuer
036308701MedicaidTX

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
I20100609000230 TX Practitioner - Internal Medicine 8224168877 Practice locations: Sugarland, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

3507 Town Ctr S Blvd
Sugarland, TX 77479-2654
Phone (281) 980-2599

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFABDA/Endpoint/DFABDA

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.

Hospital & facility affiliations 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609806793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 TOWN CENTER BLVD S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791285",
            "telephone_number": "281-980-2599",
            "fax_number": "281-980-3883"
        },
        {
            "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": "774791285",
            "telephone_number": "281-980-2599",
            "fax_number": "281-980-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADAV",
        "first_name": "PRITI",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J7015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036308701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.