Individual provider Active NPI

Neeraj Jain, M.D

  • Nephrology Physician
  • Worcester, MA
National Provider Identifier
1144425539
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
235524 Issued in MA
Practice address
123 Summer St
Worcester, MA 01608-1216
Phone
(508) 363-5000
NPI assigned
Jun 18, 2007
Last updated
Aug 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11012581A IN
Nephrology Physician 207RN0300X 235524 MA Primary

Addresses

Primary practice location

123 Summer St
Worcester, MA 01608-1216

Mailing address

41 Sheridan Dr
Apt # 12
Shrewsbury, MA 01545-3864
Phone (423) 737-0980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081021000292 MA Practitioner - NephrologyPractitioner - Internal Medicine 2062570005 Reassigns benefits to 8 organizations
I20220323000114 GA Practitioner - Nephrology 2062570005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Asssociates of the Merrimack Valley PCGroup PAC ID 1153365168, 4 clinicians

Practice addresses (Care Compare)

600 Clark Rd
Suite 2
Tewksbury, MA 01876-1699
Phone (978) 432-1811

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90872GAMDAdult Medicine Physician
11012581AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Nephrology, LLC Nephrology CurrentSince Apr 1, 2022 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Nov 12, 2018 Accepting new patients
Renal and Transplant Associates of New England PC Nephrology CurrentSince Jul 24, 2017 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Nov 12, 2018 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Dec 23, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 23, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 23, 2018 Accepting new patients
Nephrology Asssociates of the Merrimack Valley PC Nephrology CurrentSince Aug 1, 2024 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine Current Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 1, 2019 Accepting new patients

Locations

497 Winn Way
Ste A210
Decatur, GA 30030
Phone (404) 294-7033

595 Hurricane Shoals Rd NW
Ste 100
Lawrenceville, GA 30046
Phone (404) 645-7150

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

33 Bartlett St
Ste 108
Lowell, MA 01852
Phone (978) 453-1811

70 East St
Methuen, MA 01844
Phone (978) 682-1906

67 Union St
Natick, MA 01760
Phone (508) 383-1104

100 Wason Ave
Ste 200
Springfield, MA 01107
Phone (413) 773-5797

600 Clark Rd
#2
Tewksbury, MA 01876
Phone (978) 432-1811

600 Clark Rd
Fl 2
Tewksbury, MA 01876
Phone (978) 453-1811

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBJHAA/Endpoint/EBJHAA

Organizations & group practices 11

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

Hospital & facility affiliations 3

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1144425539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SHERIDAN DR",
            "address_2": "APT # 12",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453864",
            "telephone_number": "423-737-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "NEERAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "11012581A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "235524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.