Organization Active NPI

Yashwanth Jasti MD PA

  • Infectious Disease Physician
  • Irving, TX
National Provider Identifier
1972015477
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
Q2143 Issued in TX
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

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Dr. Yashwanth Jasti, MDNPI 1871890616
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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210326001050 TX Part B Supplier - Clinic/Group Practice 9638586225 Receives reassigned benefits from 1 practitioner
Practice locations: Waxahachie, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.