DR. JAY ASHWINBHAI PATEL MD
NPI 1467834044
Internal Medicine - Pulmonary Disease in San Juan Capistrano, CA

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
30230 RANCHO VIEJO RD STE 200, SAN JUAN CAPISTRANO, CA 92675(949) 443-4303(949) 443-4033 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 7, 2022, Mar 3, 2022, Aug 2, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Jay Ashwinbhai Patel Md NPPES

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

DR. JAY ASHWINBHAI PATEL MD (NPI 1467834044) is an individual pulmonary disease provider in San Juan Capistrano, California, licensed in California (A164610) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467834044
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JAY ASHWINBHAI PATELCredential: MD
Location Address30230 RANCHO VIEJO RD STE 200San Juan Capistrano, CA 92675-1585
Mailing AddressPo Box 7087Orange, CA 92863-7087 · (714) 571-5000 · Fax (714) 571-5055
Fax(949) 443-4033
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2015
Last NPPES UpdateNovember 7, 20224 updates tracked since enumeration
NPPES CertifiedNovember 7, 2022
NPI 1467834044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CA · A164610
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License A164610 (CA), 125066968 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License A164610 (CA)
30230 RANCHO VIEJO RD STE 200, San Juan Capistrano, CA 92675

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

Dr. Jay Ashwinbhai Patel Md 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 ID7416282934
PECOS Enrollment IDI20210721004166
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 22

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
998 services262 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
647 services150 patients
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.
155 services101 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
142 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
142 services135 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
118 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92675 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 9

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

Internal Medicine
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Dietitian, Registered
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Nurse Practitioner (Acute Care)
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Internal Medicine
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Nurse Practitioner (Acute Care)
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Physician Assistant
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675
Internal Medicine (Pulmonary Disease)
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675

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 Jay Patel's NPI number?

The NPI number for Jay Patel is 1467834044. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Jay Patel located?

Jay Patel practices at 30230 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675. The listed phone number is (949) 443-4303.

What is Jay Patel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jay Patel enrolled in Medicare?

Yes. Jay Patel 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.

When was this NPI record last updated?

The NPPES record for Jay Patel was last updated on November 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.