Active NPI
Rita Jain, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME96857
- Practice address
- 835 Executive LN
Suite 110
Rockledge, FL 32955-8068 - Phone
- (321) 638-2075
- Fax
- (321) 638-2234
- NPI assigned
- Jan 20, 2006
- Last updated
- Oct 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME96857 | FL | Primary |
Addresses
Primary practice location
835 Executive LN
Suite 110
Rockledge, FL 32955-8068
Mailing address
830 Executive LN
Ste 150
Rockledge, FL 32955-3595
Phone (321) 449-4168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of South Florida College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
830 Executive LN
Suite 150
Rockledge, FL 32955-3595
Phone (321) 877-1800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 81.82
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21288 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Endocrinology LLC | Current | Accepting new patients | |
| Laurel Endocrine Assoc | Past | Accepting new patients |
Locations
830 Executive Ln
Ste 150
Rockledge, FL 32955
Phone (321) 504-4442
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/9350/brand/1/csg/1/fhir/r4
- rita.jain.1@9350.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Rockledge, FL
- NPI 1427461466
-
dba Laurel Endocrine and THyroid Specialists
- Nurse Practitioner
- Columbia, SC
- NPI 1710379615
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1275513731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 EXECUTIVE LN",
"address_2": "STE 150",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553595",
"telephone_number": "321-449-4168",
"fax_number": "321-449-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 EXECUTIVE LN",
"address_2": "SUITE 110",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329558068",
"telephone_number": "321-638-2075",
"fax_number": "321-638-2234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "RITA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME96857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.