Chandrika D Jain, M.D.
Individual provider Active NPI Internal Medicine Physician · Berlin, MA
NPI 1720040256 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1720040256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 73457 (MA)
- Practice address
- 44 Central St
Suite 1
Berlin, MA 01503-1225 - Phone
- (978) 838-2330
- Fax
- (978) 838-2087
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Reliant Medical Group Inc
Practice addresses (Care Compare)
378 Maple Ave
Shrewsbury, MA 01545-2673
Phone (508) 368-7820
Hospital & facility affiliations
- Vna Care Network
- Vna Care Hospice Inc
- Umass Memorial Medical Center/University Campus
- Umass Memorial Healthalliance Hospitals
- Marlborough Hospital
- St Vincent Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050418000694 | MA | Practitioner - Internal Medicine |
4789622127 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Medical Group, Inc | Internal Medicine | Current |
Accepting new patients |
| Jain Medical Group PC | Past | Accepting new patients |
Locations
378 Maple Ave
Shrewsbury, MA 01545
Phone (508) 595-2513
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175
Interoperability endpoints
- chandrika.jain.npi1720040256.reliant@direct.optumcare.masshiway.net
- cjain22943@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73457 | MA | Yes |
Addresses
Primary practice location
44 Central St
Suite 1
Berlin, MA 01503-1225
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cjain22943@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Other providers in Berlin, MA
- Molly Hein
- Annika Hogan
- Erin Hutchins
- Insightful Solutions Therapy, LLC
- Jain Medical Group PC
- Stephanie Jane Keane
- Taylor Shea Kearney
- Teresa Lacks
- Sarah Gene Lapierre
- Nils Andreas Martinson
All providers in Berlin, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.