RADHIKA JAISWAL
NPI 1093179079
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wichita Falls, TX

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
66.74/100
CMS Quality Rating
4327 BARNETT RD, WICHITA FALLS, TX 76310(940) 764-5350(940) 764-5351 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2021, Nov 5, 2019 (2 updates tracked since 2019).

About Radhika Jaiswal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADHIKA JAISWAL (NPI 1093179079) is an individual endocrinology, diabetes & metabolism provider in Wichita Falls, Texas, licensed in Texas (S9714) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and maintains a secondary practice location in Wichita Falls.

NPPES Registry Identity

NPI1093179079
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameRADHIKA JAISWAL
Location Address4327 BARNETT RDWichita Falls, TX 76310-2303
Mailing AddressPo Box 9261Wichita Falls, TX 76308-9261 · (940) 764-7230
Fax(940) 764-5351
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 6, 2016
Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
NPI 1093179079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in TX · S9714
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

4327 BARNETT RD, Wichita Falls, TX 76310

Secondary Practice Location 1

Location 14327 Barnett RdWichita Falls, TX 76310-2303 · Phone (940) 764-5200

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Radhika Jaiswal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567706898
PECOS Enrollment IDI20210714003005
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
510 services243 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
282 services158 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
186 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
71 services71 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
44 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.18
Promoting Interoperability82
Improvement Activities40
Cost38.95

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims67 services$6.85 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers83 claims83 services$184.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4327 BARNETT RD
WICHITA FALLS, TX 76310
Physician Assistant
4327 BARNETT RD
WICHITA FALLS, TX 76310
Physician Assistant
4327 BARNETT RD
WICHITA FALLS, TX 76310
Nurse Practitioner
4327 BARNETT RD
WICHITA FALLS, TX 76310
Nurse Practitioner
4327 BARNETT RD
WICHITA FALLS, TX 76310
Dermatology (MOHS-Micrographic Surgery)
4327 BARNETT RD
WICHITA FALLS, TX 76310
Urology
4327 BARNETT RD
WICHITA FALLS, TX 76310
Physician Assistant
4327 BARNETT RD
WICHITA FALLS, TX 76310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radhika Jaiswal's NPI number?

The NPI number for Radhika Jaiswal is 1093179079. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Radhika Jaiswal located?

Radhika Jaiswal practices at 4327 Barnett Rd, Wichita Falls, TX 76310. The listed phone number is (940) 764-5350.

What is Radhika Jaiswal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Radhika Jaiswal enrolled in Medicare?

Yes. Radhika Jaiswal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Radhika Jaiswal accept?

Health plans from Blue Cross and Blue Shield of Texas list Radhika Jaiswal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Radhika Jaiswal affiliated with any hospitals?

According to CMS data, Radhika Jaiswal is affiliated with United Regional Health Care System.

When was this NPI record last updated?

The NPPES record for Radhika Jaiswal was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.