Individual provider Active NPI

Jennifer Jo-Ann Rajkumar, MD

  • Family Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1659632842
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME134540 Issued in FL
Practice address
1688 Meridian Ave Ste 700
Miami Beach, FL 33139-2713
Phone
(617) 505-1520
Fax
(617) 928-8401
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME134540 FL Primary
Family Medicine Physician 207Q00000X MD.208072 LA
Family Medicine Physician 207Q00000X 0116024681 VA

Addresses

Primary practice location

1688 Meridian Ave Ste 700
Miami Beach, FL 33139-2713

Mailing address

109 State St Ste 5
Boston, MA 02109-2906
Phone (617) 505-1520

Other identifiers 2

IdentifierTypeStateIssuer
05602370MedicaidMS
2402587MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY, WA, VA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150922002753 LA Practitioner - Family Practice 0648495507 Reassigns benefits to 1 organization
I20200221001810 NY Practitioner - Family Practice 0648495507 Reassigns benefits to 1 organization
I20240620003056 WA Practitioner - Family Practice 0648495507 Reassigns benefits to 1 organization
I20250326000008 VA Practitioner - Family Practice 0648495507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Form Health Associates Ma, P.C.Group PAC ID 3375953961, 42 clinicians

Practice addresses (Care Compare)

8300 Boone Blvd
Suite 500
Vienna, VA 22182-2681
Phone (617) 505-1520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134540FLMDFamily Medicine Physician
301626NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 1, 2015 Accepting new patients
Encora Health Inc CurrentSince May 18, 2024 Accepting new patients
Form Health Associates Ma, P.C. Family Medicine CurrentSince Jan 10, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
North Shore - Lij Medical PC CurrentSince Jan 7, 2020 Accepting new patients
North Shore-Lij Medical PC Family Medicine CurrentSince Jan 7, 2020 Accepting new patients
Nudj Health, Inc. PastSince Aug 11, 2024 Accepting new patients

Locations

101 E Green St
Ste 11
Pasadena, CA 91105
Phone (626) 261-1727

1688 Meridian Ave
Ste 700
Miami Beach, FL 33139
Phone (305) 351-0368

4225 Lapalco Blvd
Marrero, LA 70072
Phone (504) 391-7337

1514 Jefferson Hwy
New Orleans, LA 70121

109 State St
Ste 5
Boston, MA 02109

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

1400 112th Ave SE
Ste 100
Bellevue, WA 98004
Phone (425) 455-2526

Interoperability endpoints

  • Direct secure messaging: jenniferrajkumar@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: jennifer.rajkumar@168064768409604.direct.elationemr.com

Organizations & group practices 7

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1659632842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STATE ST STE 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021092906",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 MERIDIAN AVE STE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392713",
            "telephone_number": "617-505-1520",
            "fax_number": "617-928-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJKUMAR",
        "first_name": "JENNIFER",
        "middle_name": "JO-ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134540",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.208072",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116024681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05602370",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2402587",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.