NPIMap

Individual provider Active NPI

Jay Patchen, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1619940509
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18881 Issued in TN
Practice address
1520 Union Ave
Memphis, TN 38104-3700
Phone
(901) 276-2410
Fax
(901) 261-6010
NPI assigned
Feb 10, 2006
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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 18881 TN Primary

Addresses

Primary practice location

1520 Union Ave
Memphis, TN 38104-3700

Mailing address

P.O. Box 405827
Atlanta, GA 30384-5827

Other identifiers 1

IdentifierTypeStateIssuer
3049851MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090513000654 TN Practitioner - Internal Medicine 6709935109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18881TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Internal Medicine CurrentSince Dec 1, 2012 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 1, 2012 Accepting new patients
Stern Cardiovascular Foundation, Inc Past Accepting new patients
Memphis Lung Physicians Foundation, Inc. Past Accepting new patients
Memphis Primary Care Associates, PLLC Internal Medicine Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

1750 Madison Ave
Ste 400
Memphis, TN 38104
Phone (901) 276-2410

7205 Wolf River Blvd
Ste 100
Memphis, TN 38138
Phone (901) 507-9466

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

Interoperability endpoints

  • Direct secure messaging: jpatchen27662@mlh.direct-ci.com
  • Direct secure messaging: jpatchen4558@direct.bmhcc.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1619940509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043700",
            "telephone_number": "901-276-2410",
            "fax_number": "901-261-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHEN",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "18881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3049851",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.