Crain Medical P a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CRAIN MEDICAL P A

Practice address

1600 Crain Hwy S
Suite 610
Glen Bunie, MD 21061-6442

Phone

(410) 760-9300

Fax

(410) 760-2581

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sukhpal I.S Jassi, M.D

Title

President

Phone

(410) 760-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daljit S Sawhney, M.D

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1568487742
  Medicare reassignment NPD
• Rita - Khandelwal, M.D.

  • Family Medicine Physician
  • Glen Burnie, MD
  • NPI 1447350012
  NPD (past)
• Ryszard Skulski, M.D.

  • Cardiovascular Disease Physician
  • Rancho Mirage, CA
  • NPI 1083611685
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1427130905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 610",
            "city": "GLEN BUNIE",
            "state": "MD",
            "postal_code": "210616442",
            "telephone_number": "410-760-9300",
            "fax_number": "410-760-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 610",
            "city": "GLEN BUNIE",
            "state": "MD",
            "postal_code": "210616442",
            "telephone_number": "410-760-9300",
            "fax_number": "410-760-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIN MEDICAL P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "JASSI",
        "authorized_official_first_name": "SUKHPAL",
        "authorized_official_middle_name": "I.S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-760-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.