NPIMap

Organization Active NPI

Jagannath LLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
National Provider Identifier
1700038239
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
N1413 Issued in TX
Legal business name
JAGANNATH LLC
Practice address
19422 N US Highway 281
Suite 106
San Antonio, TX 78258-7614
Phone
(210) 455-9000
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Dr. Nimesh Patel, M.D.NPI 1700062007
Title
Medical Director/Owner
Phone
(210) 455-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X N1413 TX Primary

Addresses

Primary practice location

19422 N US Highway 281
Suite 106
San Antonio, TX 78258-7614

Mailing address

19422 N US Highway 281
Suite 106
San Antonio, TX 78258-7614
Phone (210) 455-9000

Other names 1

  • Quality Urgent Care of America Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090218000619 TX Part B Supplier - Clinic/Group Practice 3971668351 Receives reassigned benefits from 25 practitioners
Practice locations: San Antonio, TX
O20100930083004 TX DME Supplier - Physician - Family Practice 3971668351 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1092288Quality Urgent Care19422 N US Highway 281 Ste 106, San Antonio, TX 78258Certificate of waiverMar 14, 2028

National Provider Directory

National Provider Directory

Locations

19422 US Highway 281 N
Ste 106
San Antonio, TX 78258
Phone (210) 455-9000

8526 Interstate Highway 35 S
Ste 101
San Antonio, TX 78211
Phone (210) 564-9972

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1700038239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19422 N US HIGHWAY 281",
            "address_2": "SUITE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587614",
            "telephone_number": "210-455-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19422 N US HIGHWAY 281",
            "address_2": "SUITE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587614",
            "telephone_number": "210-455-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGANNATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "210-455-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "N1413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Urgent Care of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.