Individual provider Active NPI

Jil Pratikbhai Patel, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1871373498
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10933T Issued in TX
Practice address
9725 Datapoint Dr # 69
San Antonio, TX 78229-2384
Phone
(210) 283-6832
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 10933T TX
Vision Therapy Optometrist 152WV0400X 10933T TX
Optometrist 152W00000X 10933T TX Primary

Addresses

Primary practice location

9725 Datapoint Dr # 69
San Antonio, TX 78229-2384

Mailing address

22727 Water Edge LN
Katy, TX 77494-2307
Phone (832) 275-5586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240124000610 TX Practitioner - Optometry 8820440019 Reassigns benefits to 1 organization
I20250128004524 CA Practitioner - Optometry 8820440019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Eye Physicians Medical Group,Inc.Group PAC ID 9032162292, 9 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 310
San Mateo, CA 94401-3844
Phone (650) 342-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10933TXMDChiropractor
10933TTXMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word Optometrist CurrentSince Dec 9, 2023 Accepting new patients
Peninsula Eye Physicians Medical Group,Inc. CurrentSince Nov 11, 2024 Accepting new patients
University of the Incarnate Word CurrentSince Dec 9, 2023 Accepting new patients

Locations

101 S San Mateo Dr
Ste 310
San Mateo, CA 94401
Phone (650) 235-7522

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

Interoperability endpoints

  • Direct secure messaging: jpatel692613@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1871373498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22727 WATER EDGE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942307",
            "telephone_number": "832-275-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR # 69",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384",
            "telephone_number": "210-283-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JIL",
        "middle_name": "PRATIKBHAI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "10933T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "10933T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10933T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.