Individual provider Active NPI

Maneesh Jain, M.D.

  • Hematology & Oncology Physician
  • Washington, DC
National Provider Identifier
1649447558
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD210012179 Issued in DC
Practice address
50 Irving St NW Ste 2C-100
Washington, DC 20422-1121
Phone
(202) 745-8175
NPI assigned
May 9, 2008
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD450125 PA
Hematology & Oncology Physician 207RH0003X MD210012179 DC Primary

Addresses

Primary practice location

50 Irving St NW Ste 2C-100
Washington, DC 20422-1121

Mailing address

50 Irving St NW Ste 2C-100
Washington, DC 20422-0001
Phone (202) 745-8175

Other practice location 1

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 677-6228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080923000494 DC Practitioner - Internal Medicine 8022185669 Reassigns benefits to 1 organization
I20140107000885 PA Practitioner - Hematology/Oncology 8022185669 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD450125PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Feb 8, 2024 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Drexel University Current Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

2150 Pennsylvania Ave NW
#10412
Washington, DC 20037

50 Irving St NW
Ste 2C100
Washington, DC 20422
Phone (202) 745-8175

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

219 N Broad St
Fl 9
Philadelphia, PA 19107
Phone (215) 762-2688

230 N Broad St
Fl 15
Philadelphia, PA 19102
Phone (215) 762-2640

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1649447558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW STE 2C-100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204220001",
            "telephone_number": "202-745-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW STE 2C-100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204221121",
            "telephone_number": "202-745-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Pennsylvania Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-677-6228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "MANEESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD450125",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "DC",
            "license": "MD210012179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.