Individual provider Active NPI

Eva Qinyi Jiang, MD

  • Obstetrics & Gynecology Physician
  • Exton, PA
National Provider Identifier
1134574148
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD473228 Issued in PA
Practice address
495 Thomas Jones Way Ste 210
Exton, PA 19341-2553
Phone
(610) 280-3636
Fax
(610) 280-1569
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036.152553 IL
Obstetrics & Gynecology Physician 207V00000X MD473228 PA Primary

Addresses

Primary practice location

495 Thomas Jones Way Ste 210
Exton, PA 19341-2553

Mailing address

PO Box 22573
New York, NY 10087-2573
Phone (610) 482-4795

Other practice location 1

800 Spruce St
Philadelphia, PA 19107-6130
Phone (215) 622-1799

Other practice location 2

500 N Michigan Ave Ste 1540
Chicago, IL 60611-3758
Phone (312) 670-2530

Other identifiers 1

IdentifierTypeStateIssuer
103282863MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eva.jiang@axia.eclinicaldirectplus.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210513001531 PA Practitioner - Obstetrics/Gynecology 7911316401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

495 Thomas Jones Way
RWHG Great Valley OB/GYN
Exton, PA 19341-2553
Phone (610) 280-3636

Hospital & facility affiliations

  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.152553ILMDObstetrics & Gynecology Physician
MD473228PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology PastSince Mar 21, 2021 Accepting new patients
Elizabeth R Nye M.D. ,S.C. Obstetrics & Gynecology PastSince Mar 1, 2021 Accepting new patients
Main Line Hospitals, Inc. Past Accepting new patients

Locations

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

495 Thomas Jones Way
Exton, PA 19341
Phone (610) 280-3636

495 Thomas Jones Way
Ste 210
Exton, PA 19341
Phone (484) 565-8550

85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744

Interoperability endpoints

  • Direct secure messaging: eva.jiang@axia.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1134574148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22573",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872573",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 THOMAS JONES WAY STE 210",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412553",
            "telephone_number": "610-280-3636",
            "fax_number": "610-280-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191076130",
            "country_code": "US",
            "telephone_number": "215-622-1799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Michigan Ave Ste 1540",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113758",
            "country_code": "US",
            "telephone_number": "312-670-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "EVA",
        "middle_name": "QINYI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.152553",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD473228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103282863",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eva.jiang@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "495 Thomas Jones Way Ste 210",
            "city": "Exton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193412553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.