Active NPI
Praveer Jain, MD
- Clinical Cardiac Electrophysiology Physician
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD057391L
- Practice address
- 500 Plaza Court, Suite a
PMC Physician Associates Cardiology
East Stroudsburg, PA 18301-8262 - Phone
- (570) 424-9970
- Fax
- (570) 424-2899
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD057391L | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD057391L | PA | Primary |
Addresses
Primary practice location
500 Plaza Court, Suite a
PMC Physician Associates Cardiology
East Stroudsburg, PA 18301-8262
Mailing address
206 E. Brown St.
Pocono Healthcare Management-Professional Center
East Stroudsburg, PA 18301-3006
Phone (570) 420-4951
Other practice location 1
2649 Schoenersville Rd Ste 301
Bethlehem, PA 18017-7332
Phone (484) 884-4799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015877010009 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1569 Medical Dr
Suite 202
Pottstown, PA 19464-3223
Phone (610) 402-3110
Hospital & facility affiliations
- Lehigh Valley Hospital
- Lehigh Valley Hospital - Pocono
- St Lukes Hospital
- Lehigh Valley Hospital - Dickson City
- St Luke'S Warren Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Centers Inc. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Family Care Centers Inc | Current | Accepting new patients |
Locations
1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388
1210 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-1150
2100 Mack Blvd
Fl 4
Allentown, PA 18103
2649 Schoenersville Rd
Ste 301
Bethlehem, PA 18017
Phone (484) 884-4799
2649 Schoenersville Rd
Ste 205
Bethlehem, PA 18017
Phone (610) 866-2233
2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970
500 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
Phone (570) 420-2188
179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526
2401 Northampton St
Ste 200
Easton, PA 18045
Phone (484) 591-7450
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
1569 Medical Dr
Ste 202
Pottstown, PA 19464
Phone (484) 945-0075
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
Interoperability endpoints
- pjain113610@direct2.lvhn.org
Organizations & group practices 6
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.
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Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
- General Acute Care Hospital
- Dickson City, PA
- NPI 1396402053
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1104812502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E. BROWN ST.",
"address_2": "POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-420-4951",
"fax_number": "570-476-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PLAZA COURT, SUITE A",
"address_2": "PMC PHYSICIAN ASSOCIATES CARDIOLOGY",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018262",
"telephone_number": "570-424-9970",
"fax_number": "570-424-2899"
}
],
"practiceLocations": [
{
"address_1": "2649 Schoenersville Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Bethlehem",
"state": "PA",
"postal_code": "180177332",
"country_code": "US",
"telephone_number": "484-884-4799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "PRAVEER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD057391L",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PA",
"license": "MD057391L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015877010009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.