Active NPI
Rajiv K. Jain, DO
- Family Medicine Physician
- Huntington, WV
National Provider Identifier
1124008917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1666
- Practice address
- 2900 1St Ave
Huntington, WV 25702-1241 - Phone
- (304) 399-7484
- Fax
- (304) 399-7579
- NPI assigned
- Jan 19, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1666 | WV | Primary |
| Family Medicine Physician | 207Q00000X | 34.007367 | OH |
Addresses
Primary practice location
2900 1St Ave
Huntington, WV 25702-1241
Mailing address
PO Box 88
5 E Alvon Road Suite 7
White Sulphur Springs, WV 24986-2373
Phone (304) 536-5030
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3002051000 | Medicaid | WV | |
| 1057639 | Other | COMPNET | |
| 2246724 | Medicaid | OH | |
| 63154600 | Other | WV | BLACK LUNG |
| 3232099 | Other | WV | CIGNA |
| 64040496 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1666 | WV | MD | Metabolic Nutrition Registered Dietitian |
| 34.007367 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| St. Mary'S Medical Management Highlawn Lab | Past | Accepting new patients | |
| Ohio Valley Physicians Inc | Family Medicine | Past | Accepting new patients |
Locations
6500 Highway 645
Ste 120
Inez, KY 41224
Phone (606) 534-4002
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Inez, KY
- NPI 1104574102
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1831378504
-
- Substance Abuse Rehabilitation Facility
- South Point, OH
- NPI 1750776068
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1124008917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"address_2": "5 E ALVON ROAD SUITE 7",
"city": "WHITE SULPHUR SPRINGS",
"state": "WV",
"postal_code": "249862373",
"telephone_number": "304-536-5030",
"fax_number": "304-536-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 1ST AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257021241",
"telephone_number": "304-399-7484",
"fax_number": "304-399-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "RAJIV",
"middle_name": "K.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1666",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.007367",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3002051000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPNET",
"identifier": "1057639",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2246724",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "63154600",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3232099",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64040496",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.