Active NPI
Sujata H. Jere, MD
- Family Medicine Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L3697
- Practice address
- 2400 Cedar Bend Dr
Austin, TX 78758-5378 - Phone
- (512) 901-4026
- Fax
- (512) 901-3867
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L3697 | TX | Primary |
Addresses
Primary practice location
2400 Cedar Bend Dr
Austin, TX 78758-5378
Mailing address
2400 Cedar Bend Dr
Austin, TX 78758-5378
Phone (512) 901-4026
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00463326 | Other | TX | RRMDCR |
| 178189001 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SUJATA.JERE@hca8.eclinicaldirectplus.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530
2400 Cedar Bend Dr
Austin, TX 78758-5378
Phone (512) 901-4011
Hospital & facility affiliations
- North Austin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 64.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Current | Accepting new patients | |
| Austin Diagnostic Clinic | Current | Accepting new patients | |
| Austin Diagnostic Clinic, PA | Past | Accepting new patients | |
| The Austin Diagnostic Clinic, PLLC | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2400 Cedar Bend Dr
Austin, TX 78758
Phone (512) 901-4016
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
4315 James Casey St
Austin, TX 78745
Phone (512) 460-3404
Interoperability endpoints
- 11219-jere-sujata@direct.leadingreach.com
- sujata.jere@hca8.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Nephrology Physician
- Austin, TX
- NPI 1497729685
-
- Hospitalist Physician
- Austin, TX
- NPI 1972011658
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1235103136
-
- Ambulatory Surgical Clinic/Center
- Austin, TX
- NPI 1619923950
-
- Cardiovascular Disease Physician
- Austin, TX
- NPI 1104803816
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Austin, TX
- NPI 1629021845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1790746683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 CEDAR BEND DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585378",
"telephone_number": "512-901-4026",
"fax_number": "512-901-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CEDAR BEND DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585378",
"telephone_number": "512-901-4026",
"fax_number": "512-901-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERE",
"first_name": "SUJATA",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L3697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMDCR",
"identifier": "P00463326",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178189001",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SUJATA.JERE@hca8.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2400 Cedar Bend Dr",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787585378",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.