NPIMap

Individual provider Active NPI

Ambereen M Jan, MD

  • Nephrology Physician
  • Exton, PA
National Provider Identifier
1619929932
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD047325L Issued in PA
Practice address
860 Springdale Dr
Suite 100
Exton, PA 19341-2847
Phone
(610) 524-3703
Fax
(610) 524-5990
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD047325L PA Primary

Addresses

Primary practice location

860 Springdale Dr
Suite 100
Exton, PA 19341-2847

Mailing address

860 Springdale Dr
Suite 100
Exton, PA 19341-2847
Phone (610) 524-3703

Other identifiers 1

IdentifierTypeStateIssuer
01557749MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014001348 PA Practitioner - NephrologyPractitioner - Internal Medicine 9739124090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Renal Associates LLCGroup PAC ID 6901881366, 33 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Suite 200 Paoli Mem. Hospital
Paoli, PA 19301-1792
Phone (610) 524-3703

Hospital & facility affiliations

  • DaVita Westtown Dialysis Dialysis facility, West Chester, PA, CCN 392791
  • Dialyze Direct PA Dialysis facility, Exton, PA, CCN 392868
  • DaVita Thorndale Dialysis Dialysis facility, Thorndale, PA, CCN 392522
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
74.34
Promoting interoperability
100
Improvement activities
40
Cost
75.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047325LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince Jul 2, 2026 Accepting new patients
Clinical Renal Associates, LLC Nephrology CurrentSince Apr 5, 1995 Accepting new patients

Locations

30 Medical Center Blvd
Ste 303
Chester, PA 19013

860 Springdale Dr
Ste 100
Exton, PA 19341
Phone (610) 524-3703

255 W Lancaster Ave
Ste 200
Paoli, PA 19301
Phone (610) 524-3703

250 W Lancaster Ave
Ste 225
Paoli, PA 19301
Phone (610) 647-0400

1015 W Baltimore Pike
Ste 112
West Grove, PA 19390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3389/brand/1/csg/21/fhir/r4
  • Direct secure messaging: ambereen.jan.1@3389.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1619929932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 SPRINGDALE DR",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412847",
            "telephone_number": "610-524-3703",
            "fax_number": "610-524-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SPRINGDALE DR",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412847",
            "telephone_number": "610-524-3703",
            "fax_number": "610-524-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAN",
        "first_name": "AMBEREEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD047325L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01557749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.