Active NPI
Vivek Kumar Jain, M.D.
- Ophthalmology Physician
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101226759
- 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, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006310486 | Medicaid | VA |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 49.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Eye Care, Inc. | Current | Accepting new patients | |
| Eye Surgery Limited LLC | Past | 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.
-
- Optometrist
- Virginia Beach, VA
- NPI 1013902873
-
dba Virginia Center for Eye Surgery
- Ambulatory Surgical Clinic/Center
- Virginia Beach, VA
- NPI 1053345082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.