Individual provider Active NPI

Sangeeta J Jain, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Pikesville, MD
National Provider Identifier
1629224985
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
DOD80650 Issued in MD
Practice address
1838 Greene Tree Rd Ste 260
Pikesville, MD 21208-7108
Phone
(410) 486-2000
Fax
(410) 486-0825
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 40366 SC
Allergy & Immunology (Internal Medicine) Physician 207RA0201X DOD80650 MD Primary

Addresses

Primary practice location

1838 Greene Tree Rd Ste 260
Pikesville, MD 21208-7108

Mailing address

1838 Greene Tree Rd Ste 260
Pikesville, MD 21208-7108
Phone (410) 486-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40366SCMDAllergy & Immunology Physician
DOD80650MDMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Allergy Asthma & Urticaria Centers of Charleston PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1629224985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 260",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "410-486-2000",
            "fax_number": "410-486-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD STE 260",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212087108",
            "telephone_number": "410-486-2000",
            "fax_number": "410-486-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SANGEETA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "40366",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MD",
            "license": "DOD80650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.