Individual provider Active NPI

Jesal Haribhakti, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1689221350
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10331 Issued in TX
Practice address
9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone
(210) 883-1190
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10331 TX Primary

Addresses

Primary practice location

9725 Datapoint Dr
San Antonio, TX 78229-2384

Mailing address

9725 Datapoint Dr
San Antonio, TX 78229-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190829001256 IN Practitioner - Optometry 5294063285 Reassigns benefits to 1 organization
I20211006000107 TX Practitioner - Optometry 5294063285 Reassigns benefits to 1 organization
I20241004003022 OH Practitioner - Optometry 5294063285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10331TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Optometrist CurrentSince Aug 19, 2019 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Indiana University Optometrist Current Accepting new patients
Indiana University CurrentSince Aug 19, 2019 Accepting new patients
University of the Incarnate Word CurrentSince Aug 3, 2021 Accepting new patients
University of the Incarnate Word Optometrist CurrentSince Aug 3, 2021 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

744 E 3rd St
Bloomington, IN 47405
Phone (812) 855-8436

800 E Atwater Ave
Bloomington, IN 47405
Phone (812) 855-4447

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

18599 Lake Shore Blvd
Ste 220
Cleveland, OH 44119

11100 Euclid Ave
Cleveland Heights, OH 44106

6707 Powers Blvd
Ste 100
Parma, OH 44129
Phone (440) 743-4281

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

Interoperability endpoints

  • Direct secure messaging: jharibhakti602745@ehrdirect.uhhospitals.org

Organizations & group practices 7

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1689221350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384",
            "telephone_number": "210-883-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIBHAKTI",
        "first_name": "JESAL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.