Individual provider Active NPI

Vivek Kumar Jain, M.D.

  • Ophthalmology Physician
  • Virginia Beach, VA
National Provider Identifier
1487649687
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101226759 Issued in VA
Practice address
1201 First Colonial Rd
Virginia Beach, VA 23454-2217
Phone
(757) 425-5550
Fax
(757) 412-2606
NPI assigned
Sep 13, 2005
Last updated
Mar 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101226759 VA Primary

Addresses

Primary practice location

1201 First Colonial Rd
Virginia Beach, VA 23454-2217

Mailing address

1201 First Colonial Rd
Virginia Beach, VA 23454-2217
Phone (757) 425-5550

Other identifiers 1

IdentifierTypeStateIssuer
006310486MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000893 VA Practitioner - Ophthalmology 1951340785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
West Virginia University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Eye Care IncGroup PAC ID 8921064460, 14 clinicians

Practice addresses (Care Compare)

1201 1St Colonial Rd
Virginia Beach, VA 23454-2217
Phone (757) 425-5550

Merit-based Incentive Payment System (MIPS)

Final score
84.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
49.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Eye Care, Inc. CurrentSince Jan 2, 2003 Accepting new patients
Eye Surgery Limited LLC PastSince Jul 31, 2002 Accepting new patients

Locations

325 Volvo Pkwy
Ste 120
Chesapeake, VA 23320

1201 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 425-5550

2173 Upton Dr
Ste 601
Virginia Beach, VA 23454
Phone (757) 351-2020

4388 Holland Rd
Virginia Beach, VA 23452
Phone (757) 425-5550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1487649687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542217",
            "telephone_number": "757-425-5550",
            "fax_number": "757-412-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FIRST COLONIAL RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542217",
            "telephone_number": "757-425-5550",
            "fax_number": "757-412-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "VIVEK",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101226759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006310486",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.