Active NPI
Sheetal Jain, MD
- Internal Medicine Physician
- Red Hook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 312990
- Practice address
- 17 Glen Pond Dr
Red Hook, NY 12571-1840 - Phone
- (845) 758-9118
- NPI assigned
- Jun 26, 2018
- Last updated
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 312990 | NY | Primary |
Addresses
Primary practice location
17 Glen Pond Dr
Red Hook, NY 12571-1840
Mailing address
17 Glen Pond Dr Ste 1
Red Hook, NY 12571-1824
Phone (845) 758-9118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6511 Spring Brook Ave
Suite 101
Rhinebeck, NY 12572-3709
Phone (845) 331-5326
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Internal Medicine | Current | Accepting new patients |
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| Northern Dutchess Hospital | Past | Accepting new patients |
Locations
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
6511 Spring Brook Ave
Ste 101
Rhinebeck, NY 12572
Phone (845) 331-5326
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
dba Berkshire Community Pharmacy of North Adams
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hudson Valley Hospice
- Community Based Hospice Care Agency
- Poughkeepsie, NY
- NPI 1508866286
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
dba Vassar Diagnostics
- Clinical Medical Laboratory
- Poughkeepsie, NY
- NPI 1780052514
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1083109722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GLEN POND DR STE 1",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711824",
"telephone_number": "845-758-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 GLEN POND DR",
"city": "RED HOOK",
"state": "NY",
"postal_code": "125711840",
"telephone_number": "845-758-9118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "SHEETAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "312990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Hook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.