Active NPI
Jagruti Amin, M.D.
- Child & Adolescent Psychiatry Physician
- Ambler, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD054746L
- Practice address
- 722 E Butler Pike
Ambler, PA 19002-2310 - Phone
- (610) 524-1552
- Fax
- (610) 524-6039
- NPI assigned
- Sep 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD054746L | PA | Primary |
Addresses
Primary practice location
722 E Butler Pike
Ambler, PA 19002-2310
Mailing address
722 E Butler Pike
Ambler, PA 19002-2310
Phone (610) 524-1552
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016556970003 | Medicaid | PA | |
| 830401 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4641 Roosevelt Blvd
Philadelphia, PA 19124-2343
Phone (215) 831-4600
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 78.42
- Improvement activities
- 40
- Cost
- 70.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Pennsylvania Physician Alliance LLC | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Uhs of Pennsylvania Inc | Current | Accepting new patients | |
| Uhs of Pennsylvania Inc | Current | Accepting new patients |
Locations
800 Park Way
Ste A
Broomall, PA 19008
Phone (215) 718-4350
2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906
722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800
4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600
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 and National Provider Directory roles.
-
- Neurology Physician
- Clarion, PA
- NPI 1902440621
Child & Adolescent Psychiatry
-
- Psychiatry Physician
- Ambler, PA
- NPI 1225128192
-
- Psychiatric Hospital
- Ambler, PA
- NPI 1295708832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306945852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 E BUTLER PIKE",
"city": "AMBLER",
"state": "PA",
"postal_code": "190022310",
"telephone_number": "610-524-1552",
"fax_number": "610-524-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 E BUTLER PIKE",
"city": "AMBLER",
"state": "PA",
"postal_code": "190022310",
"telephone_number": "610-524-1552",
"fax_number": "610-524-6039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "JAGRUTI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD054746L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016556970003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "830401",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.