JAY K PATOLIA (MD) – Allergy & Immunology Physician, NPI 1174020150

JAY K PATOLIA (MD) is a healthcare provider. based in Fayetteville, Arkansas. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. T9211 (TX). The NPI Number for JAY K PATOLIA (MD) is 1174020150

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JAY K PATOLIA (MD)
NPI
1174020150
Phone
(479) 713-8310
Address
1125 N COLLEGE AVE # SLOT100
Enumeration Date
6 April 2018
Last Update Date
3 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2817015457
Graduation Year
2018 (8 years ago)
PAC ID
0840693479
Group Practice PAC ID
8426303041
Professional Enrollment ID
I20230818000044
Address ID
TX770814629HO6550XSTXX305
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

39 ALLERGY/IMMUNOLOGY in AR

Provider Addresses for JAY K PATOLIA (MD)

  • 1125 N COLLEGE AVE # SLOT100

    FAYETTEVILLE, AR 727031908

    Phone: (479) 713-8310

    Type: Mailing

  • 5001 BISSONNET ST STE 200

    BELLAIRE, TX 774014023

    Phone: (281) 701-5457

    Type: Location

  • 6550 MAPLERIDGE ST STE 115

    HOUSTON, TX 770814629

    Phone: (281) 701-5457

    Fax: (281) 605-6815

    Type: Mailing

  • 10330 HIGHWAY 6 STE J

    MISSOURI CITY, TX 774594741

    Phone: (281) 256-7182

    Fax: (281) 605-6815

    Type: Location

  • 5147 MAUMEE RIVER DRIVE

    SUGARLAND, TX 77479

    Phone: (281) 222-4293

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $1,273.

Total Amount is formed as General ($1,273) + Research ($0) + Ownership ($0) = $1,273.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($615).

Total Amount

$1,273

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230818000044IAllergy/ImmunologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426303041View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YTX
A L L E R G Y/ I M M U N O L O G YTX
Pediatric Medicine, Allergy/ImmunologyTX

Reviews

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Frequently asked questions

How do payers reference JAY K PATOLIA (MD)?
For JAY K PATOLIA (MD), use NPI 1174020150 as the unique 10-digit identifier.
Is there an active status for JAY K PATOLIA (MD)?
For scheduling context, JAY K PATOLIA (MD) is shown as active in the registry.
What clinical focus is listed for JAY K PATOLIA (MD)?
At a glance, JAY K PATOLIA (MD) is tied to Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Where in Arkansas is JAY K PATOLIA (MD) registered?
Use Fayetteville, Arkansas as the headline location for JAY K PATOLIA (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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