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AJAY JAYENDRA PATHAK M.D.
NPI 1831114156
Internal Medicine in Little Elm, TX

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
2833 W ELDORADO PKWY STE 307, LITTLE ELM, TX 75068(972) 292-0300(972) 292-0301 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ajay Jayendra Pathak M.d. NPPES

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

AJAY JAYENDRA PATHAK M.D. (NPI 1831114156) is an individual internal medicine provider in Little Elm, Texas, licensed in Texas (J6202) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1831114156
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAJAY JAYENDRA PATHAKCredential: M.D.
Location Address2833 W ELDORADO PKWY STE 307Little Elm, TX 75068-3540
Mailing Address1780 W Mcdermott Dr Ste 200Allen, TX 75013-3363 · (972) 954-1469 · Fax (469) 283-2743
Phone(972) 292-0300
Fax(972) 292-0301
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 16, 2018
✔ NPI 1831114156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J6202
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.
2833 W ELDORADO PKWY STE 307, Little Elm, TX 75068
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Other Identifiers 2

Medicaid115547504TX
Medicaid115547501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Ajay Jayendra Pathak M.d. 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 ID5597781989
PECOS Enrollment IDI20051014000409
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 2

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
254 services93 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.
85 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75068 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.

Other Providers at the Same Location NPPES

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

PREMIER WELLNESS URGENT CARE CLINIC PLLC
Clinic/Center (Urgent Care)
2833 W ELDORADO PKWY STE 307
LITTLE ELM, TX 75068
Denton County (972) 292-0300

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 Ajay Pathak's NPI number?

The NPI number for Ajay Pathak is 1831114156. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Ajay Pathak located?

Ajay Pathak practices at 2833 W Eldorado Pkwy Ste 307, Little Elm, TX 75068. The listed phone number is (972) 292-0300.

What is Ajay Pathak's specialty?

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

Is Ajay Pathak enrolled in Medicare?

Yes. Ajay Pathak 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 Ajay Pathak accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ajay Pathak 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 Ajay Pathak was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.