Active NPI
Jay Patel, D.O.
- Surgery Physician
- Fort Worth, TX
National Provider Identifier
1881037869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- P9933
- Practice address
- 800 8TH Ave Ste 306
Fort Worth, TX 76104-2602 - Phone
- (682) 224-3748
- Fax
- (682) 841-0039
- NPI assigned
- Apr 9, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P9933 | TX | Primary |
Addresses
Primary practice location
800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Mailing address
800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346452101 | Medicaid | TX | |
| 383431 | Other | TX | MEDICARE PTAN |
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
- General Surgery
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Omega Dr
Suite 203
Arlington, TX 76014-2075
Phone (682) 224-3748
800 8TH Ave
Suite 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748
Hospital & facility affiliations
- Medical City Fort Worth
- Medical City Alliance
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.42 of 100
- Quality
- 55.48
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 74.9
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9933 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Services, Inc. | Surgery | Past | Accepting new patients |
Interoperability endpoints
- jay.patel@ntss.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Surgery Physician
- Fort Worth, TX
- NPI 1831625292
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1881037869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 8TH AVE STE 306",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042602",
"telephone_number": "682-224-3748",
"fax_number": "682-841-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 8TH AVE STE 306",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042602",
"telephone_number": "682-224-3748",
"fax_number": "682-841-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "P9933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "346452101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "383431",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
- 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.