Sushil K Jain, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001001 Issued in VA

Practice address

10580 Arrowhead Drive
Fairfax Health Center
Fairfax, VA 22030

Phone

(571) 432-2680

Fax

(571) 432-2795

NPI assigned

Jan 20, 2006

Last updated

Apr 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Southern California College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sushil K Jain OD PC

  • Optometrist
  • McLean, VA
  • NPI 1033140793

  DC

  Medicare reassignment NPD Authorized official
• Cornea Consultants, P.C. 2

  • Corneal and Contact Management Optometrist
  • Rockville, MD
  • NPI 1376910539
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1740260041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 GALLOWS RD",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271310",
            "telephone_number": "240-277-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 ARROWHEAD DRIVE",
            "address_2": "FAIRFAX HEALTH CENTER",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "571-432-2680",
            "fax_number": "571-432-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SUSHIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001001",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VA",
            "license": "0618001001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Jagarlamudi, M.D.
• Jaguar Integrative LLC
• Shana-Dee L Jahrling, MSW
• Ranjana Jain, M.D.
• Supriya Jain, M.D.
• Mohamed Alusine Jalloh
• Elissa L Jamaldinian, MS, OTR/L
• James E Long, MD, PC
• James J Suh MD PC (Internal Medicine Center of Virginia)
• James Kim DC PC (Fairfax Sports Chiropractic & Rehab)

• Optometrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.