Samruddhi Vijay Jain, MBBS

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Practice address

Saint Vincent Hospital
123 Summer St
Worcester, MA 01608

Phone

(508) 363-6095

NPI assigned

Apr 22, 2022

Last updated

Nov 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Vincent Hospital

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1295035756
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1073257309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W FOUNTAIN ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-363-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT VINCENT HOSPITAL",
            "address_2": "123 SUMMER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01608",
            "telephone_number": "508-363-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SAMRUDDHI",
        "middle_name": "VIJAY",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2023-11-01",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akshita Jain, M.D.
• Ananya Jain, DO
• Dilip Mohan Jain, MD
• Neeraj Jain, M.D
• Nethra Jain, MBBS
• Vaibhav Jain, MD
• Shannon Jalbert
• Isha R. Jalnapurkar, M.D.
• James M Shenko MD PC
• James M Shenko, MD PC

• General Acute Care Hospital in Worcester, MA
• Providers in Worcester, MA by specialty
• General Acute Care Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.