DR. JAI JADEGONDANAHALLI (M.D.) – Internal Medicine Physician, NPI 1477790095
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,360 CRITICAL CARE (INTENSIVISTS) in TX
Provider Addresses for DR. JAI JADEGONDANAHALLI (M.D.)
6014 ROCKFOWL DR
HOUSTON, TX 770491370
Phone: (940) 395-7660
Type: Mailing
4401 GARTH RD
BAYTOWN, TX 775212122
Phone: (281) 420-8415
Fax: (281) 420-8429
Type: Location
Medical Center Hospital, 500, West 4th Street, Scharbauer Place, Westside, Odessa, Ector County, Texas, 79761, United States
ODESSA, TX 797615001
Phone: (432) 640-2834
Fax: (432) 640-2897
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-03-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110308000217 | I | Critical Care (Intensivists) | TX | TBD |
| I20230307000603 | I | Critical Care (Intensivists) | TN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 220 | 134 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 77049)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Thoracic Surgery, Vascular Surgery | TX | |
| Medical Oncology, Hematology | TX | |
| Internal Medicine | TX | |
| General Surgery | NY | |
| G A S T R O E N T E R O L O G Y | LA | |
| Internal Medicine | TX |
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