Active NPI
Ashish Kumar Jain, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 2018-01039
- Practice address
- 125 Queens Rd Ste 250
Charlotte, NC 28204-3215 - Phone
- (704) 316-5100
- Fax
- (704) 316-5101
- NPI assigned
- Apr 27, 2011
- Last updated
- Jun 14, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2018-01039 | NC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 2018-01039 | NC | Primary |
Addresses
Primary practice location
125 Queens Rd Ste 250
Charlotte, NC 28204-3215
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5100
Other practice location 1
301 Hawthorne Ln Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajain652564@direct.novanthealth.org | ||
| Direct Messaging Address | ajain652564@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Vascular Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
106 Corporate Park Dr
Suite 200
Mooresville, NC 28117-7134
Phone (704) 887-4530
401 Mocksville Ave
FL 2
Salisbury, NC 28144-2735
Phone (704) 633-9620
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
- Novant Health Matthews Medical Center
- Novant Health Huntersville Medical Center
- Novant Health Mint Hill Medical Center
- Novant Health Ballantyne Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 14 |
| Leg revascularization (restoring blood flow) | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Past | Accepting new patients |
Locations
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043
125 Queens Rd
Ste 200
Charlotte, NC 28204
125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340
15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (704) 542-0744
301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-2670
8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024
9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530
106 Corporate Park Dr
Ste 200
Mooresville, NC 28117
Phone (704) 235-9090
106 Corporate Park Dr
Ste 300
Mooresville, NC 28117
Phone (704) 887-4530
401 Mocksville Ave
Fl 2
Salisbury, NC 28144
Phone (704) 633-9620
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- ajain652564@direct.novanthealth.org
Organizations & group practices 9
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.
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Senior Care
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Mooresville, NC
- NPI 1326611070
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Salisbury, NC
- NPI 1639179393
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1457695264
-
dba Novant Health Infusion
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
dba Mid Carolina Cardiology
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Ballantyne Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
dba Novant Health Matthews Medical Center
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
dba Novant Health Mint Hill Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
dba Novant Health Huntersville Medical Center
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1619268430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-316-5100",
"fax_number": "704-316-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 250",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043215",
"telephone_number": "704-316-5100",
"fax_number": "704-316-5101"
}
],
"practiceLocations": [
{
"address_1": "301 Hawthorne Ln Ste 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "28204",
"country_code": "US",
"telephone_number": "704-316-5100",
"fax_number": "704-316-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "ASHISH",
"middle_name": "KUMAR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-27",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2018-01039",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "2018-01039",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajain652564@direct.novanthealth.org",
"affiliation": "N",
"address_1": "301 Hawthorne Ln Ste 200",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "28204",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajain652564@direct.novanthealth.org",
"affiliation": "N",
"address_1": "125 Queens Rd Ste 250",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.