Individual provider Active NPI

Sunita K Jain, MD

  • Physical Medicine & Rehabilitation Physician
  • Memphis, TN
National Provider Identifier
1558355008
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
26446 Issued in TN
Practice address
6029 Walnut Grove Rd Ste 209
Memphis, TN 38120-2112
Phone
(901) 681-0778
Fax
(901) 821-9987
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 26446 TN Primary

Addresses

Primary practice location

6029 Walnut Grove Rd Ste 209
Memphis, TN 38120-2112

Mailing address

PO Box 341226
Bartlett, TN 38184-1226
Phone (901) 291-2400

Other practice location 1

6305 Humphreys Blvd Ste 101
Memphis, TN 38120-2300
Phone (901) 227-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100217000384 TN Practitioner - Physical Medicine and Rehabilitation 8426001983 Reassigns benefits to 1 organization
Practice locations: Memphis, TN

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers New Jersey Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

2013 Exeter Rd
Suite 10
Germantown, TN 38138-3946
Phone (901) 737-4035

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

6029 Walnut Grove Rd
Suite 209
Memphis, TN 38120-2112
Phone (901) 681-0778

6305 Humphreys Blvd
Suite 101
Memphis, TN 38120-2372
Phone (901) 227-8930

6305 Humphreys Blvd
Suite 108
Memphis, TN 38120-2370
Phone (901) 227-8930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Infectious Disease Associates, PLLC CurrentSince Aug 25, 2024 Accepting new patients
Baptist Memorial Medical Group Inc Physical Medicine & Rehabilitation CurrentSince May 1, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince May 1, 2018 Accepting new patients
Advanced Kidney Care PastSince Feb 14, 2013 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

6027 Walnut Grove Rd
Ste 312
Memphis, TN 38120
Phone (901) 681-0778

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6029 Walnut Grove Rd
Ste 209
Memphis, TN 38120
Phone (901) 681-0778

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930

6305 Humphreys Blvd
Ste 108
Memphis, TN 38120
Phone (901) 227-8930

Interoperability endpoints

  • Direct secure messaging: sjain12700@direct.bmhcc.org

Organizations & group practices 5

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 6

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1558355008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341226",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381841226",
            "telephone_number": "901-291-2400",
            "fax_number": "901-379-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-681-0778",
            "fax_number": "901-821-9987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6305 Humphreys Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202300",
            "country_code": "US",
            "telephone_number": "901-227-8930",
            "fax_number": "901-227-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SUNITA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "26446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.