Individual provider Active NPI

Jack M Juprasert, MD MS FACS

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1659765907
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
U2523 Issued in TX
Practice address
11851 Jollyville Rd Ste 104
Austin, TX 78759-2350
Phone
(512) 257-2425
Fax
(512) 257-2426
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U2523 TX Primary

Addresses

Primary practice location

11851 Jollyville Rd Ste 104
Austin, TX 78759-2350

Mailing address

11851 Jollyville Rd Ste 104
Austin, TX 78759-2350
Phone (512) 257-2425

Other practice location 1

1335 E Whitestone Blvd Bldg V204
Cedar Park, TX 78613-5022
Phone (512) 257-2425

Other practice location 2

7201 Menchaca Rd Ste B-1
Austin, TX 78745-5283
Phone (512) 257-2425

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
I20231027001104 TX Practitioner - General Surgery 1456744309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sashidhar V. Ganta MD PAGroup PAC ID 0749294973, 3 clinicians

Practice addresses (Care Compare)

7201 Menchaca Rd
Suite B 1
Austin, TX 78745-5283
Phone (512) 257-2425

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sashidhar V. Ganta MD PA Surgery CurrentSince Sep 1, 2023 Accepting new patients

Locations

7201 Menchaca Rd
Ste B1
Austin, TX 78745
Phone (512) 257-2425

11851 Jollyville Rd
Ste 104
Austin, TX 78759
Phone (512) 257-2425

1335 E Whitestone Blvd
#104
Cedar Park, TX 78613

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.

Hospital & facility affiliations 2

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1659765907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-257-2425",
            "fax_number": "512-257-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 JOLLYVILLE RD STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787592350",
            "telephone_number": "512-257-2425",
            "fax_number": "512-257-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 E Whitestone Blvd Bldg V204",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786135022",
            "country_code": "US",
            "telephone_number": "512-257-2425",
            "fax_number": "512-257-2426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 Menchaca Rd Ste B-1",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787455283",
            "country_code": "US",
            "telephone_number": "512-257-2425",
            "fax_number": "512-257-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUPRASERT",
        "first_name": "JACK",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD MS FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U2523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.