Individual provider Active NPI

Sujata H. Jere, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1790746683
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3697 Issued in TX
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

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00463326OtherTXRRMDCR
178189001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000400 TX Practitioner - Family Practice 1951324128 Reassigns benefits to 1 organization

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
The Austin Diagnostic Clinic PLLCGroup PAC ID 1254244551, 87 clinicians

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 Hospital, Austin, TX, CCN 450809

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
The Austin Diagnostic Clinic, PLLC CurrentSince Dec 1, 2005 Accepting new patients
Austin Diagnostic Clinic CurrentSince Dec 1, 2005 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

  • Direct secure messaging: 11219-jere-sujata@direct.leadingreach.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.