NPIMap

Individual provider Active NPI

Anshu K Jain, M.D.

  • Therapeutic Radiology Physician
  • Ashland, KY
National Provider Identifier
1093942534
Registry record updated Jan 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
45172 Issued in KY
Practice address
122 Saint Christopher Dr
Ashland, KY 41101-7016
Phone
(606) 836-0202
NPI assigned
Jun 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 45172 KY Primary
Internal Medicine Physician 207R00000X L-240344 MA

Addresses

Primary practice location

122 Saint Christopher Dr
Ashland, KY 41101-7016

Mailing address

122 Saint Christopher Dr
Ashland, KY 41101-7016
Phone (606) 836-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200701001503 NC Practitioner - Radiation Oncology 8820212293 Reassigns benefits to 2 organizations
I20200715002712 SC Practitioner - Radiation Oncology 8820212293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Kentucky College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Radiation Oncology Group, P.a.Group PAC ID 1254233950, 52 clinicians

Practice addresses (Care Compare)

1005 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 283-6200

1400 Matthews Township Pkwy
Matthews, NC 28105-4655
Phone (704) 845-8800

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 333-7376

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

920 Church N St
Concord, NC 28025-2927
Phone (704) 333-7376

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L-240344MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Aug 1, 2020 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Southeast Radiation Oncology Group, P.a. CurrentSince Aug 1, 2020 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

10660 Park Rd
Ste 1100C
Charlotte, NC 28210
Phone (704) 667-0337

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

1021 Morehead Medical Dr
Charlotte, NC 28204
Phone (704) 355-2272

125 Queens Rd
Ste 150
Charlotte, NC 28204
Phone (980) 302-6144

125 Queens Rd
Ste 600
Charlotte, NC 28204
Phone (980) 302-6600

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

Organizations & group practices 5

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

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451606400000",
    "number": "1093942534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017016",
            "telephone_number": "606-836-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017016",
            "telephone_number": "606-836-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANSHU",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2016-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "KY",
            "license": "45172",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "L-240344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.