Active NPI
Priyanka Jain, MD
- Ophthalmology Physician
- Merced, CA
National Provider Identifier
1275791881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- C161938
- Practice address
- 1100 Olivewood Dr
Merced, CA 95348-1210 - Phone
- (209) 325-4149
- Fax
- (209) 720-0211
- NPI assigned
- May 30, 2008
- Last updated
- Apr 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD.206872 | LA | |
| Ophthalmology Physician | 207W00000X | C161938 | CA | Primary |
Addresses
Primary practice location
1100 Olivewood Dr
Merced, CA 95348-1210
Mailing address
1100 Olivewood Dr
Merced, CA 95348-1210
Phone (209) 325-4149
Other practice location 1
580 Collins Dr
Merced, CA 95348
Phone (209) 383-0989
Other practice location 2
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 255-3690
Other practice location 3
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 255-3690
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Olivewood Dr
Merced, CA 95348-1210
Phone (209) 325-4149
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.2 of 100
- Quality
- 95
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 75.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 362 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C161938 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priyanka Jain MD Inc | Ophthalmology | Current | Accepting new patients |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
1100 Olivewood Dr
Merced, CA 95348
Phone (209) 325-4149
1114 Olivewood Dr
Merced, CA 95348
Phone (209) 349-1896
Interoperability endpoints
- pjain@directaddress.net
- pjain@priyankajain.emadirect.md
Organizations & group practices 3
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.
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
dba Doctors Medical Center of Modesto
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1275791881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 OLIVEWOOD DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953481210",
"telephone_number": "209-325-4149",
"fax_number": "209-720-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 OLIVEWOOD DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953481210",
"telephone_number": "209-325-4149",
"fax_number": "209-720-0211"
}
],
"practiceLocations": [
{
"address_1": "580 Collins Dr",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "95348",
"country_code": "US",
"telephone_number": "209-383-0989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 S Farmerville St",
"address_purpose": "LOCATION",
"city": "Ruston",
"state": "LA",
"postal_code": "712705941",
"country_code": "US",
"telephone_number": "318-255-3690",
"fax_number": "318-251-6116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 S Farmerville St",
"address_purpose": "LOCATION",
"city": "Ruston",
"state": "LA",
"postal_code": "712705941",
"country_code": "US",
"telephone_number": "318-255-3690",
"fax_number": "318-251-6116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "PRIYANKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2023-04-24",
"certification_date": "2023-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "MD.206872",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "C161938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.