Individual provider Active NPI

Aisha Chantal Jennings, M.D.

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1255566261
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
82854 Issued in GA
Practice address
16TH St and First Avenue
New York, NY 10005
Phone
(770) 999-9999
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01071390A IN
Emergency Medicine Physician 207P00000X 0101253241 VA
Emergency Medicine Physician 207P00000X 82854 GA Primary

Addresses

Primary practice location

16TH St and First Avenue
New York, NY 10005

Mailing address

16TH Street and First Avenue
New York, NY 10005
Phone (770) 999-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, VA, NY, DC, TX, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20121019000081 IN Practitioner - Emergency Medicine 6305096868 Reassigns benefits to 2 organizations
I20130326000203 VA Practitioner - Emergency Medicine 6305096868 Reassigns benefits to 1 organization
I20130715000553 NY Practitioner - Emergency Medicine 6305096868 Reassigns benefits to 4 organizations
I20131030001747 DC Practitioner - Emergency Medicine 6305096868 Reassigns benefits to 2 organizations
I20151112000592 TX Practitioner - Emergency Medicine 6305096868 Reassigns benefits to 1 organization
I20240528000211 GA Practitioner - Emergency Medicine 6305096868 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians
Emergency Medicine Services of VA LLCGroup PAC ID 6103291430, 38 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

5005 Plank Rd
Fredericksburg, VA 22407-6646
Phone (540) 736-6900

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Spotsylvania Regional Medical Center Hospital, Fredericksburg, VA, CCN 490141

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40
Cost
75.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82854GAMDEmergency Medicine Physician
0101253241VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Ny Physician PLLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Dec 19, 2019 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Marion General Hospital CurrentSince Dec 16, 2019 Accepting new patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Soldiers & Sailors Memorial Hospital Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients
Wajeeh Sana Physician PC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Commonwealth Emergency Physicians PC Emergency Medicine CurrentSince Jul 15, 2019 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince May 1, 2015 Accepting new patients
Marion General Hospital CurrentSince Dec 16, 2019 Accepting new patients
The Southeast Permanente Medical Group CurrentSince Oct 21, 2025 Accepting new patients
Fort Oglethorpe Emergency Physicians Group LLC Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bestpractices, Inc. Emergency Medicine Past Accepting new patients

Locations (25 of 28)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

2855 Old Highway 5
Blue Ridge, GA 30513
Phone (706) 632-4263

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

196 North St
Geneva, NY 14456
Phone (315) 787-4156

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

Organizations & group practices 19

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.

View all 19

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1255566261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16TH STREET AND FIRST AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10005",
            "telephone_number": "770-999-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16TH ST AND FIRST AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10005",
            "telephone_number": "770-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "AISHA",
        "middle_name": "CHANTAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01071390A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101253241",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "82854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.