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JOSE ARNULFO GRIJALVA MD
NPI 1932690419
Psychiatry & Neurology - Psychiatry in Austin, TX

Active since May 21, 2018PECOS Enrolled
75/100
CMS Quality Rating
1106 CLAYTON LN STE 240W, AUSTIN, TX 78723(737) 471-5402(559) 443-2681 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2023, May 9, 2022, May 21, 2018 (3 updates tracked since 2018).

About Jose Arnulfo Grijalva Md NPPES

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

JOSE ARNULFO GRIJALVA MD (NPI 1932690419) is an individual psychiatry provider in Austin, Texas, licensed in Texas (U0351) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932690419
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOSE ARNULFO GRIJALVACredential: MD
Location Address1106 CLAYTON LN STE 240WAustin, TX 78723-2478
Mailing Address1106 Clayton Ln Ste 240wAustin, TX 78723-2478 · (737) 471-5402 · Fax (559) 443-2681
Phone(737) 471-5402
Fax(559) 443-2681
Sole ProprietorYes
Enumeration DateMay 21, 2018
Last NPPES UpdateJanuary 17, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1932690419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in TX · U0351✔ Licensed in CA · A178450
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1106 CLAYTON LN STE 240W, Austin, TX 78723
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Arnulfo Grijalva Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Grijalva reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Med Management Associates
77 mi
Psychiatry
7272 WURZBACH RD, SUITE 601
San Antonio, TX 78240
  • Reassigned Medicare billing, Texas enrollment
  • 97 clinicians in this Medicare group
NPI 1508233040 (888) 365-6271

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

Areas of Expertise CMS Part B claims 6

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
301 services297 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
242 services88 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
182 services81 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
151 services62 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
99 services51 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
44 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78723 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
$174.00 typical visit price
range $57.88 – $174.00
Typical copayment $43.50 (range $14.47 – $43.50)
Most-billed visit code 99205
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 4

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

DR. RAMON ARAGON M.D.
Psychiatry & Neurology (Psychiatry)
1106 CLAYTON LN STE 240W
AUSTIN, TX 78723
Travis County (737) 471-5402
SOUTHWEST NEUROPSYCHIATRY ASSOCIATION PLLC
Psychiatry & Neurology (Psychiatry)
1106 CLAYTON LN STE 240W
AUSTIN, TX 78723
Travis County (737) 471-5402
VANESSA AGUILAR ESTEBANE LPC(C)
Counselor (Professional)
1106 CLAYTON LN STE 240W
AUSTIN, TX 78723
Travis County (737) 471-5402
FARDOKHT BAHADORI-ESFAHANI M.D
Psychiatry & Neurology (Psychiatry)
1106 CLAYTON LN STE 240W
AUSTIN, TX 78723
Travis County (737) 471-5402

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 Jose Grijalva's NPI number?

The NPI number for Jose Grijalva is 1932690419. It was assigned to this individual provider in the NPPES registry on May 21, 2018.

Where is Jose Grijalva located?

Jose Grijalva practices at 1106 Clayton Ln Ste 240W, Austin, TX 78723. The listed phone number is (737) 471-5402.

What is Jose Grijalva's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jose Grijalva enrolled in Medicare?

Yes. Jose Grijalva is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Grijalva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Grijalva reassigns Medicare benefits to Med Management Associates (San Antonio, TX). The 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 Jose Grijalva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Grijalva accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Moda Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Jose Grijalva 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 Jose Grijalva was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.