Active NPI
Yashwanth Jasti MD PA
- Infectious Disease Physician
- Irving, TX
National Provider Identifier
1972015477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- Q2143
- Legal business name
- YASHWANTH JASTI MD PA
- Practice address
- 611 N Macarthur Blvd
Irving, TX 75061-7428 - Phone
- (214) 389-0855
- Fax
- (214) 389-0859
- NPI assigned
- Oct 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yashwanth Jasti, MD
- Title
- Owner
- Phone
- (214) 389-0855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Q2143 | TX | Primary |
Addresses
Primary practice location
611 N Macarthur Blvd
Irving, TX 75061-7428
Mailing address
611 N Macarthur Blvd
Irving, TX 75061-7428
Phone (214) 389-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
611 N MacArthur Blvd
Irving, TX 75061
Phone (972) 254-1777
151 Rvg Pkwy
Ste 103
Waxahachie, TX 75165
Phone (469) 383-7323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Desoto, TX
- NPI 1871890616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1972015477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N MACARTHUR BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750617428",
"telephone_number": "214-389-0855",
"fax_number": "214-389-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N MACARTHUR BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750617428",
"telephone_number": "214-389-0855",
"fax_number": "214-389-0859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YASHWANTH JASTI MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-25",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "JASTI",
"authorized_official_first_name": "YASHWANTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-389-0855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "Q2143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.