Individual provider Active NPI

Neelesh Jain, MD

  • MOHS-Micrographic Surgery Physician
  • Middletown, RI
National Provider Identifier
1699332635
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD20591 Issued in RI
Practice address
102 Valley Rd
Middletown, RI 02842-5237
Phone
(401) 239-1800
NPI assigned
May 24, 2019
Reactivated
Apr 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD20591 RI
Dermatology Physician 207N00000X ME167826 FL
MOHS-Micrographic Surgery Physician 207ND0101X MD20591 RI Primary

Addresses

Primary practice location

102 Valley Rd
Middletown, RI 02842-5237

Mailing address

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Other practice location 1

1600 SW Archer Road
Gainesville, FL 32610-3001
Phone (352) 594-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, RI2 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
I20240617000368 FL Practitioner - Dermatology 1355884545 Reassigns benefits to 1 organization
I20250411002259 RI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1355884545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Tulane University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians

Practice addresses (Care Compare)

102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision111
Removal of tissue1-10
Removal of skin lesions939
Removal of skin cancer498
Removal or shaving of skin growth145
Skin biopsy524

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20591RIMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2024 Accepting new patients
Aspire Dermatology LLC Mohs-Micrographic Surgery CurrentSince Apr 7, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2024 Accepting new patients
Southcoast Physicians Group, Inc. PastSince Apr 7, 2025 Accepting new patients

Locations

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2435 Nooseneck Hill Rd
Unit 1A
Coventry, RI 02816
Phone (401) 239-1800

2138 Mendon Rd
Ste 201
Cumberland, RI 02864
Phone (401) 305-5757

1524 Atwood Ave
Ste 321
Johnston, RI 02919
Phone (401) 239-1800

235 Plain St
Ste 502
Providence, RI 02905
Phone (401) 831-8300

1525 Wampanoag Trl
Ste 203
Riverside, RI 02915
Phone (401) 239-1800

618 Toll Gate Rd
Warwick, RI 02886
Phone (401) 239-1800

Interoperability endpoints

  • FHIR API: https://aspire.mmi.prod.fhir.ema-api.com/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1699332635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Road",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103001",
            "country_code": "US",
            "telephone_number": "352-594-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "NEELESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "deactivation_date": "2020-04-02",
        "reactivation_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD20591",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME167826",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "RI",
            "license": "MD20591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.