NPIMap

Individual provider Active NPI

Jason Patel

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1710418702
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
309693 Issued in LA
Practice address
1411 Ochsner Blvd Ste C
Covington, LA 70433-8110
Phone
(985) 807-1937
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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 309693 LA Primary

Addresses

Primary practice location

1411 Ochsner Blvd Ste C
Covington, LA 70433-8110

Mailing address

1411 Ochsner Blvd Ste C
Covington, LA 70433-8110
Phone (985) 807-1937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20181016003704 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 1951672583 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patel Mind and Body LLCGroup PAC ID 4587027180, 3 clinicians

Practice addresses (Care Compare)

603 S Tyler St
Covington, LA 70433-3345
Phone (985) 333-1313

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309693LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince Jan 20, 2024 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Sep 5, 2018 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Sep 5, 2018 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Jan 20, 2024 Accepting new patients
Patel Psychiatry, LLC CurrentSince Jul 30, 2023 Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients
Patel Mind and Body LLC Internal Medicine CurrentSince Jul 30, 2023 Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

603 S Tyler St
Covington, LA 70433
Phone (985) 333-1313

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Interoperability endpoints

  • Direct secure messaging: jason.patel.1@21711.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Tammany Hospital HospiceMadisonville, LA, CCN 191516 Hospice W-2 Managing Employee Jul 28, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 6

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1710418702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 OCHSNER BLVD STE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-807-1937",
            "fax_number": "833-989-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 OCHSNER BLVD STE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-807-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "309693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.