Sanjay Kumar Jain, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME139042 Issued in FL

Practice address

17512 Dona Michelle Dr Ste 5
Tampa, FL 33647-3265

Phone

(813) 586-7600

Fax

(813) 605-6062

NPI assigned

May 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

State University of New York at Buffalo School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest General Medical Group IncGroup PAC ID 8527964550, 232 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

Merit-based Incentive Payment System (MIPS)

Final score

81.06 of 100Reported as group

Quality

63.56

Promoting interoperability

100

Improvement activities

40

Cost

73.3

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southwest General Medical Group Inc

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1134239676

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Southwest General Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Middleburg HTS, OH
  • NPI 1588393979
  NPD

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

• Southwest General Health Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1154353993
  Care Compare affiliation

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1114453842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17512 DONA MICHELLE DR STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473265",
            "telephone_number": "813-586-7600",
            "fax_number": "813-605-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17512 DONA MICHELLE DR STE 5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473265",
            "telephone_number": "813-586-7600",
            "fax_number": "813-605-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27076 Bagley Rd",
            "address_purpose": "LOCATION",
            "city": "Olmsted Twp",
            "state": "OH",
            "postal_code": "441381104",
            "country_code": "US",
            "telephone_number": "440-816-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18181 Pearl Rd Ste B202",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441366951",
            "country_code": "US",
            "telephone_number": "440-816-4965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SANJAY",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.148377",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME139042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107331400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anya Jain
• Jennifer Deborah Jain, MD
• Jyotika Jain
• Michael David Jain, MD
• Rohit Kumar Jain, M.B.B.S, MPH
• Surbhi Jain, MD
• Kenneth Rajiv Jainandan, DMD
• Jainandental PA
• Payal Jairamdas, ACUPUNCTURIST
• Jairo D Libreros-Cupido MD PA

• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.