Active NPI
Jay Sanjay Patel, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Anderson, SC
National Provider Identifier
1689654089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 29492
- Practice address
- 108 Montgomery Dr
Anderson, SC 29621-3334 - Phone
- (864) 225-5597
- Fax
- (864) 225-5835
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 29492 | SC | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 29492 | SC |
Addresses
Primary practice location
108 Montgomery Dr
Anderson, SC 29621-3334
Mailing address
2320 E North St Ste K
Greenville, SC 29607-1250
Phone (850) 339-1359
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6089 | Other | MEDICARE GROUP | |
| AA22586089 | Other | SC | MEDICARE PTAN |
| 294924 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29492 | SC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Pain Management PC | Single Specialty | Current | Accepting new patients |
| The Smart Clinic | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Evergreen Medical, Inc. | Single Specialty | Past | Accepting new patients |
Locations
108 Montgomery Dr
Anderson, SC 29621
Phone (864) 225-5597
2320 E North St
Ste K
Greenville, SC 29607
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Anderson, SC
- NPI 1811543879
Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Draper, UT
- NPI 1316160534
Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Park City, UT
- NPI 1477269199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566604800000",
"number": "1689654089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 E NORTH ST STE K",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296071250",
"telephone_number": "850-339-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 MONTGOMERY DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296213334",
"telephone_number": "864-225-5597",
"fax_number": "864-225-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAY",
"middle_name": "SANJAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2019-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "SC",
"license": "29492",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "29492",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "6089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AA22586089",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "294924",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.