Active NPI
Jaylata Madhusudan Patel, M.D.
- Psychiatry Physician
- Toledo, OH
National Provider Identifier
1992820344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35 052768
- Practice address
- 5151 Monroe St
#200
Toledo, OH 43623-3462 - Phone
- (419) 475-4449
- Fax
- (419) 479-7039
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35 052768 | OH | Primary |
Addresses
Primary practice location
5151 Monroe St
#200
Toledo, OH 43623-3462
Mailing address
P.O. Box 8970
Toledo, OH 43623-8970
Phone (419) 517-1758
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04393 | Other | PARAMOUNT HEALTH CARE | |
| 242482-000 | Other | MAGELLAN HEALTH SERVICES | |
| 0655465 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 052768 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1992820344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8970",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436238970",
"telephone_number": "419-517-1758",
"fax_number": "419-517-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 MONROE ST",
"address_2": "#200",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233462",
"telephone_number": "419-475-4449",
"fax_number": "419-479-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "JAYLATA",
"middle_name": "MADHUSUDAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35 052768",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT HEALTH CARE",
"identifier": "04393",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN HEALTH SERVICES",
"identifier": "242482-000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0655465",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.