Active NPI
Nelia Jain, M.D.
- Internal Medicine Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME164458
- Practice address
- 880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027 - Phone
- (866) 849-0692
- NPI assigned
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.149713 | OH | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 50046 | AL | |
| Internal Medicine Physician | 207R00000X | U6981 | TX | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 276532 | MA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 102486 | GA | |
| Internal Medicine Physician | 207R00000X | ME164458 | FL | Primary |
Addresses
Primary practice location
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
450 Brookline Ave
Boston, MA 02215-5418
Phone (617) 632-2027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164458 | FL | MD | Internal Medicine Physician |
| 102486 | GA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Devoted Medical Group Professional Corporation | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Thyme Care Medical PLLC | Current | Accepting new patients | |
| Bobby Green Medical, P.C. | Past | Accepting new patients | |
| Central Dupage Physician Group | Internal Medicine | Past | Accepting new patients |
Locations
880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612
75 Francis St
Boston, MA 02115
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
10 Lea Ave
Ste 760
Nashville, TN 37210
Phone (210) 526-8484
Interoperability endpoints
- nelia.jain@532070890209284.direct.elationemr.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- General Acute Care Hospital
- Boston, MA
- NPI 1851333686
-
- Primary Care Clinic/Center
- Pembroke Pines, FL
- NPI 1245838168
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1518673987
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1174844682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 SW 145TH AVE STE 202",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33027",
"telephone_number": "866-849-0692"
}
],
"practiceLocations": [
{
"address_1": "450 Brookline Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155418",
"country_code": "US",
"telephone_number": "617-632-2027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "NELIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.149713",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "AL",
"license": "50046",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U6981",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "MA",
"license": "276532",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "GA",
"license": "102486",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME164458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.