Ajay Jayendra Pathak, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J6202 Issued in TX

Practice address

2833 W Eldorado Pkwy Ste 307
Little Elm, TX 75068-3540

Phone

(972) 292-0300

Fax

(972) 292-0301

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcapatha@yourcarecommunity.org

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.

• Ajay J Pathak, MD PA

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1225395015
  Medicare reassignment NPD Authorized official
• Care Well TX PLLC

  • General Practice Physician
  • Plano, TX
  • NPI 1407354780
  Medicare reassignment NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1831114156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 W MCDERMOTT DR STE 200",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133363",
            "telephone_number": "972-954-1469",
            "fax_number": "469-283-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 W ELDORADO PKWY STE 307",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750683540",
            "telephone_number": "972-292-0300",
            "fax_number": "972-292-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "AJAY",
        "middle_name": "JAYENDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115547504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115547501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Parker, B.S, L.M.T
• Jalen Parks
• Jordun Parks
• Justin Parks, CHW
• Ty Nesha Parks
• Descha Patterson
• Shavonna Maria Payton Chambers
• Peak Physical Therapy, LLC
• Gwendolyn Arnett Peterson
• Romekka Petty, PHLEBOTOMIST

• Internal Medicine Physician in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.