Individual provider Active NPI

Atul Kumar Jain, M.D.

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1194905711
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A92495 Issued in CA
Practice address
7695 Cardinal Court
Suite 100
San Diego, CA 92123-3357
Phone
(858) 609-7100
Fax
(858) 609-7100
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A92495 CA Primary

Addresses

Primary practice location

7695 Cardinal Court
Suite 100
San Diego, CA 92123-3357

Mailing address

7695 Cardinal Court
Suite 100
San Diego, CA 92123-3357
Phone (858) 609-7100

Other identifiers 1

IdentifierTypeStateIssuer
00A924950MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080806000355 CA Practitioner - Ophthalmology 4789758962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12630 Monte Vista Rd
Suite 104
Poway, CA 92064-2526
Phone (858) 451-1911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92495CAMDOphthalmology Physician
92495CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 18, 2010 Accepting new patients
Retina Consultants San Diego Inc Ophthalmology CurrentSince Mar 1, 2018 Accepting new patients
Retina Consultants San Diego Inc Ophthalmology CurrentSince Mar 1, 2018 Accepting new patients
Fane L. Robinson, M.D. and Mark D. Smith, M.D., a Medical Corporation PastSince Aug 2, 2010 Accepting new patients
Tri-City Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

3144 El Camino Real
Ste 100
Carlsbad, CA 92008
Phone (760) 730-3536

9850 Genesee Ave
Ste 700
La Jolla, CA 92037
Phone (858) 451-1911

12630 Monte Vista Rd
Ste 104
Poway, CA 92064
Phone (858) 451-1911

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

3965 5th Ave
Ste 330
San Diego, CA 92103
Phone (858) 451-1911

Interoperability endpoints

  • Direct secure messaging: ajain71735@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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 1

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1194905711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL COURT",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-609-7100",
            "fax_number": "858-609-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 CARDINAL COURT",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233357",
            "telephone_number": "858-609-7100",
            "fax_number": "858-609-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ATUL",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A92495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A924950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.