JAYESH VISHNU PATEL BSC. PT
NPI 1770697070
Physical Therapist - Orthopedic in West Linn, OR

NPI Status: Active since August 17, 2006

Contact Information

2020 8TH AVE STE 100
WEST LINN, OR
ZIP 97068
Phone: (503) 353-1278
Fax: (503) 353-1273

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 30
Physical Therapist
Orthopedic
Accepts Insurance
Accepts Medicare Approved Payment

About JAYESH PATEL

This page provides the complete NPI Profile along with additional information for Jayesh Patel, a provider established in West Linn, Oregon with a medical specialization in Physical Therapist, focusing in orthopedic and more than 30 years of experience. The healthcare provider is registered in the NPI registry with number 1770697070 assigned on August 2006. The practitioner's primary taxonomy code is 2251X0800X with license number 4729 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI: 1770697070
Provider Name: JAYESH VISHNU PATEL BSC. PT
Gender: Male
Entity Type: Individual
Location Address: 2020 8TH AVE STE 100 WEST LINN, OR 97068
Location Phone: (503) 353-1278
Location Fax: (503) 353-1273
Mailing Address: PO BOX 22075 MILWAUKIE, OR 97269
Mailing Phone: (503) 353-1278
Mailing Fax: (503) 353-1273
Medical School Name: OTHER
Graduation Year: 1996
Is Sole Proprietor?: No
Enumeration Date: 08-17-2006
Last Update Date: 11-07-2024
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Location Map

Secondary Locations

10180 SE Sunnyside Rd
Clackamas, OR 97015
(503) 571-6118
12119 SE Stevens Road
Happy Valey, OR 97086
(503) 353-1278

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physical Therapist Orthopedic
Taxonomy Code: 2251X0800X
Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.: 4729
License State: OR
Taxonomy Description: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Moda Health Plan, Inc.

Moda Health Affinity Bronze 7750 - EPO
Moda Health Affinity Bronze 9000 - EPO
Moda Health Affinity Bronze HDHP 7500 - EPO
Moda Health Affinity Gold 1000 - EPO
Moda Health Affinity Gold 1500 - EPO
Moda Health Affinity Gold 250 - EPO
Moda Health Affinity Silver 3000 - EPO
Moda Health Affinity Silver 3400 - EPO
Moda Health Affinity Silver 4500 - EPO
Moda Health Affinity Silver 6000 - EPO
Moda Health Oregon Standard Bronze Affinity - EPO
Moda Health Oregon Standard Gold Affinity - EPO
Moda Health Oregon Standard Silver Affinity - EPO

PacificSource Health Plans

Navigator Bronze 7000 Exchange - PPO
Navigator Bronze 9200 - PPO
Navigator Bronze HSA 8050 - PPO
Navigator Gold 1500 - PPO
Navigator Gold 1500 Exchange - PPO
Navigator Gold 500 Exchange - PPO
Navigator Silver 3500 Exchange - PPO
Navigator Silver 4000 Exchange - PPO
Navigator Silver 5000 - PPO
Navigator Silver HSA 3500 - PPO
Navigator Standard Expanded Bronze - PPO
Navigator Standard Gold - PPO
Navigator Standard Silver - PPO
PacificSource Oregon Standard Bronze Plan NAV - PPO
PacificSource Oregon Standard Gold Plan NAV - PPO
PacificSource Oregon Standard Silver Plan NAV - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jayesh Patel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 3577651520
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20071108000675
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	7	0	6	9	7	0	7	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	14	0	12	9	14	0	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 2 + 9 + 1 + 4 + 0 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1770697070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.