Active NPI
Kiran A Jain, M.D.
- Diagnostic Radiology Physician
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A44854
- Practice address
- 1213 Southfield CT
Davis, CA 95616-5727 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A44854 | CA | Primary |
Addresses
Primary practice location
1213 Southfield CT
Davis, CA 95616-5727
Mailing address
11995 Singletree LN
Ste 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
Other practice location 1
3883 Airway Dr Ste 100
Santa Rosa, CA 95403-1672
Phone (707) 521-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A44854 | Other | CA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131
1213 Southfield CT
Davis, CA 95616-5727
Phone (415) 750-4916
15 Maple Ave
Warwick, NY 10990-1028
Phone (845) 986-2276
396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131
42082 State Hwy 28
Suite 17
Margaretville, NY 12455-2820
Phone (845) 303-1132
42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631
95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940
Hospital & facility affiliations
- Healthalliance Hospital Marys Avenue Campus
- UCSF Health St. Mary'S Hospital
- Good Samaritan Hospital of Suffern
- Sequoia Hospital
- UCSF Health Saint Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.93
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44854 | CA | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Image Guided Therapeutics, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Universal Radiology Partners of California PC | Diagnostic Radiology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Norcal Imaging | Diagnostic Radiology | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients |
Locations
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
1801 W Olympic Blvd
Pasadena, CA 91199
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kjain433996@direct-ucsfmedicalcenter.org
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.
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1316968910
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Diagnostic Radiology Physician
- Temecula, CA
- NPI 1467225235
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- Diagnostic Radiology Physician
- Concord, CA
- NPI 1003965997
-
- Home Health Agency
- Stockton, CA
- NPI 1306978945
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Redwood City, CA
- NPI 1568646735
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1750369336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "STE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 SOUTHFIELD CT",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165727",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [
{
"address_1": "3883 Airway Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954031672",
"country_code": "US",
"telephone_number": "707-521-4480",
"fax_number": "707-521-4460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "KIRAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A44854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A44854",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.