Individual provider Active NPI

Charu K. Jain, MD

  • Obstetrics & Gynecology Physician
  • Brockton, MA
National Provider Identifier
1720214349
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
281404 Issued in MA
Practice address
830 Oak St Ste 223E
Brockton, MA 02301-1191
Phone
(508) 427-2222
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 281404 MA Primary

Addresses

Primary practice location

830 Oak St Ste 223E
Brockton, MA 02301-1191

Mailing address

960 Massachusetts Ave
Boston, MA 02118-2620
Phone (617) 414-4505

Other practice location 1

60 Messenger St
Plainville, MA 02762-2258
Phone (508) 809-6379

Other identifiers 1

IdentifierTypeStateIssuer
003118693AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200324002066 MA Practitioner - Obstetrics/Gynecology 4183888969 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Apr 22, 2023 Accepting new patients
BMC Affiliated Physicians, Inc. Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Nov 7, 2024 Accepting new patients
Obhg Massachusetts - Direct, P.C. CurrentSince Jul 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 22, 2023 Accepting new patients
Boston Medical Center - South Corporation Past Accepting new patients
Colquitt Regional Surgery, LLC Past Accepting new patients
Colquitt Regional OB/GYN, LLC Obstetrics & Gynecology PastSince Aug 25, 2018 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

830 Oak St
Ste 223E
Brockton, MA 02301
Phone (508) 588-3060

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

70 Walnut St
Foxborough, MA 02035
Phone (508) 543-6371

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

Interoperability endpoints

  • Direct secure messaging: cjain252236@direct.bmc.masshiway.net
  • Direct secure messaging: charu.jain.1@2017.direct.athenahealth.com

Organizations & group practices 8

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1720214349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182620",
            "telephone_number": "617-414-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 OAK ST STE 223E",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011191",
            "telephone_number": "508-427-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Messenger St",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "MA",
            "postal_code": "027622258",
            "country_code": "US",
            "telephone_number": "508-809-6379",
            "fax_number": "508-809-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "CHARU",
        "middle_name": "K.",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "281404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003118693A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.