Active NPI
Ashokkumar Chatarmalji Jain, M.D.
- Specialist
- Saint Pauls, NC
National Provider Identifier
1427028398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 200101222
- Practice address
- 216 E Broad St
Saint Pauls, NC 28384-1612 - Phone
- (910) 241-3136
- Fax
- (910) 241-3159
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 200101222 | NC | Primary |
Addresses
Primary practice location
216 E Broad St
Saint Pauls, NC 28384-1612
Mailing address
PO Box 647
Hope Mills, NC 28348-0647
Phone (910) 483-7337
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427028398 | Other | NC | HUMANA |
| 1427028398 | Medicaid | NC | |
| 624256 | Other | NC | WELLPATH |
| 1342H | Other | NC | BCBS PROVIDER ID NUMBER |
| 1427028 | Medicaid | NC | |
| C4360 | Other | NC | MEDCOST |
| 7557270 | Other | NC | AETNA |
| 1427028398 | Other | NC | DOCTORS DIRECT |
| 200101222 | Other | NC | PROVIDER LICENCE NUMBER |
| 2056201 | Other | NC | UNITED HEALTHCARE |
| 624256 | Other | NC | COVENTRY OF THE CAROLINAS |
| 872500 | Other | NC | COVENTRY NATIONAL - COVENTRY PPO |
| 12220189 | Other | NC | PHCS-MULTIPLAN |
| 1427028398 | Other | NC | HEALTHNET FEDERAL SERVICES |
| 891342H | Medicaid | NC | |
| 1427028398 | Other | NC | HEALTHSMART |
| 3812490 | Other | NC | CIGNA-GREATWEST |
| FH1101565 | Other | NC | FIRST CAROLINA CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidzcare Pediatrics, PC | Past | Accepting new patients | |
| Kidzcare Pediatrics, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Williamston, NC
- NPI 1124627146
-
- Pediatrics Physician
- Hope Mills, NC
- NPI 1679529051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1427028398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283480647",
"telephone_number": "910-483-7337",
"fax_number": "910-483-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 E BROAD ST",
"city": "SAINT PAULS",
"state": "NC",
"postal_code": "283841612",
"telephone_number": "910-241-3136",
"fax_number": "910-241-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "ASHOKKUMAR",
"middle_name": "CHATARMALJI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "200101222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1427028398",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427028398",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH",
"identifier": "624256",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID NUMBER",
"identifier": "1342H",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427028",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C4360",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7557270",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORS DIRECT",
"identifier": "1427028398",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER LICENCE NUMBER",
"identifier": "200101222",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2056201",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY OF THE CAROLINAS",
"identifier": "624256",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY NATIONAL - COVENTRY PPO",
"identifier": "872500",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS-MULTIPLAN",
"identifier": "12220189",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET FEDERAL SERVICES",
"identifier": "1427028398",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891342H",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSMART",
"identifier": "1427028398",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA-GREATWEST",
"identifier": "3812490",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH1101565",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Pauls, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.