Individual provider Active NPI

Aakash Jain

  • Student in an Organized Health Care Education/Training Program
  • West Columbia, SC
National Provider Identifier
1174383988
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
145 Sunset CT Ste 100
West Columbia, SC 29169-2464
Phone
(803) 739-3550
NPI assigned
Mar 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

145 Sunset CT Ste 100
West Columbia, SC 29169-2464

Mailing address

2 Riverside Cir
Roanoke, VA 24016-4950

Other practice location 1

2 Riverside Cir
Roanoke, VA 24016-4950
Phone (540) 526-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajain175571@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241023004217 SC Order and Referring Only - Family PracticePractitioner - Family Practice 7618400029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1174383988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIVERSIDE CIR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SUNSET CT STE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692464",
            "telephone_number": "803-739-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Riverside Cir",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164950",
            "country_code": "US",
            "telephone_number": "540-526-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "AAKASH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajain175571@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "145 Sunset Ct Ste 100",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291692464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.