Individual provider Active NPI

Jane Jenab, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1386789824
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2020-0385 Issued in NM
Practice address
6400 Paseo del Norte NE
Albuquerque, NM 87113-1718
Phone
(505) 596-2100
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46229 CO
Student in an Organized Health Care Education/Training Program 390200000X 2016 CO
Family Medicine Physician 207Q00000X MD2020-0385 NM Primary
Emergency Medicine Physician 207P00000X 314828 NY

Addresses

Primary practice location

6400 Paseo del Norte NE
Albuquerque, NM 87113-1718

Mailing address

PO Box 26666
Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

Other practice location 1

6895 E Hampden Ave
Denver, CO 80224-3047
Phone (303) 349-5975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200214000744 TX Practitioner - Emergency Medicine 0345389581 Reassigns benefits to 1 organization
I20220607001218 NY Practitioner - Emergency Medicine 0345389581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

Practice addresses (Care Compare)

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
314828NYMDLicensed Practical Nurse
46229COMDFamily Medicine Physician
MD2020-0385NMMDFamily Medicine Physician
2016COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital Inc Emergency Medicine CurrentSince Nov 7, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Jul 20, 2021 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Nov 7, 2022 Accepting new patients
Rosebud Indian Health Service CurrentSince Jul 20, 2021 Accepting new patients
Chenango Memorial Hospital, Inc. Emergency Medicine Past Accepting new patients

Locations

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Interoperability endpoints

  • Direct secure messaging: jjenab180052@direct.phs.org
  • Direct secure messaging: jjenab36621@mvhealthsystem.direct-ci.com

Organizations & group practices 6

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.

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1386789824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PASEO DEL NORTE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131718",
            "telephone_number": "505-596-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6895 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802243047",
            "country_code": "US",
            "telephone_number": "303-349-5975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENAB",
        "first_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46229",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "2016",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2020-0385",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "314828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.