Individual provider Active NPI

Jose Arnulfo Grijalva, MD

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1932690419
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U0351 Issued in TX
Practice address
1106 Clayton LN Ste 240W
Austin, TX 78723-2478
Phone
(737) 471-5402
Fax
(559) 443-2681
NPI assigned
May 21, 2018
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A178450 CA
Psychiatry Physician 2084P0800X U0351 TX Primary

Addresses

Primary practice location

1106 Clayton LN Ste 240W
Austin, TX 78723-2478

Mailing address

1106 Clayton LN Ste 240W
Austin, TX 78723-2478
Phone (737) 471-5402

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
I20220712000017 TX Practitioner - Psychiatry 6901286616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17720 Corporate Woods Dr
San Antonio, TX 78259-3500

367 S Gulph Rd
King of Prussia, PA 19406-3121

3920 Creekview
Temple, TX 76504-2110

7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4803

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as group
Quality
72.94
Improvement activities
40
Cost
48.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A178450CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAllen Hospitalist Group, PLLC Psychiatry CurrentSince Jun 3, 2024 Accepting new patients
Southwest Neuropsychiatry Association PLLC Psychiatry CurrentSince Jan 2, 2023 Accepting new patients
Med Management Associates Psychiatry CurrentSince Oct 17, 2022 Accepting new patients
Staats Psychiatric Services PLLC Psychiatry PastSince Feb 1, 2019 Accepting new patients

Locations

1106 Clayton Ln
Ste 240W
Austin, TX 78723
Phone (737) 471-5402

1213 W Slaughter Ln
Ste 110
Austin, TX 78748
Phone (512) 440-4800

12151 W Parmer Ln
Ste 202
Cedar Park, TX 78613
Phone (512) 593-7070

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

17720 Corporate Woods Dr
San Antonio, TX 78259
Phone (210) 491-9400

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

Interoperability endpoints

  • Direct secure messaging: jose.grijalva@direct.myhealthep.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1932690419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 240W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232478",
            "telephone_number": "737-471-5402",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 240W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232478",
            "telephone_number": "737-471-5402",
            "fax_number": "559-443-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIJALVA",
        "first_name": "JOSE",
        "middle_name": "ARNULFO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A178450",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U0351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.