JAISWAL CLINIC PLLC
NPI 1225296361
Internal Medicine in Durant, OK

Active since May 27, 2008
702 BRYAN DR, SUITE 100, DURANT, OK 74701(580) 924-4704(580) 924-6001 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaiswal Clinic Pllc NPPES

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

JAISWAL CLINIC PLLC (NPI 1225296361) is a healthcare organization registered as an internal medicine in Durant, Oklahoma and active in the NPI registry since May 2008. The organization lists Deepak S Jaiswal, Owner, as its authorized official.

NPPES Registry Identity

NPI1225296361
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJAISWAL CLINIC PLLC
Location Address702 BRYAN DR, SUITE 100Durant, OK 74701-7031
Mailing AddressPo Box 1514Durant, OK 74702-1514 · (580) 924-4704 · Fax (580) 924-6001
Fax(580) 924-6001
Organization SubpartNo
Authorized OfficialDeepak S JaiswalOwner · (580) 924-4704
Enumeration DateMay 27, 2008
Last NPPES UpdateFebruary 1, 2012
✔ NPI 1225296361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
702 BRYAN DR, Durant, OK 74701

Other Identifiers 6

Medicare PINP00619585OK
Other1386698728OK · Individual Npi
Medicare PINOKB5081OK
Medicare PINDN4313OK
Other1225296361Group Npi
Medicaid200198250AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaiswal Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jaiswal Clinic PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1386698728
702 BRYAN DR SUITE 100
Durant, OK 74701
(580) 924-4704
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043443062
702 BRYAN DR STE 100
Durant, OK 74701
(580) 924-4704
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jaiswal Clinic PLLC's NPI number?

The NPI number for Jaiswal Clinic PLLC is 1225296361. It was assigned to this organization in the NPPES registry on May 27, 2008.

Where is Jaiswal Clinic PLLC located?

Jaiswal Clinic PLLC is located at 702 Bryan Dr Suite 100, Durant, OK 74701. The listed phone number is (580) 924-4704.

What is Jaiswal Clinic PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jaiswal Clinic PLLC enrolled in Medicare?

Yes. Jaiswal Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jaiswal Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jaiswal Clinic PLLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jaiswal Clinic PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Jaiswal Clinic PLLC 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.

When was this NPI record last updated?

The NPPES record for Jaiswal Clinic PLLC was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.