Active NPI
Anubhav Jain, M.B.B.S, M.D.
- Student in an Organized Health Care Education/Training Program
- Rochester, MI
National Provider Identifier
1770017360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1101 W University Dr # 2-South
Rochester, MI 48307-1863 - Phone
- (248) 601-4805
- NPI assigned
- Apr 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1101 W University Dr # 2-South
Rochester, MI 48307-1863
Mailing address
1101 W University Dr # 2-South
Rochester, MI 48307-1863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230823004256 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 0749554921 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiology Assoc of Port Huron
Practice addresses (Care Compare)
1222 10TH Ave
Port Huron, MI 48060-3406
Phone (810) 985-9681
Hospital & facility affiliations
- McLaren Port Huron
- Lake Huron Medical Center
- McKenzie Health System
- Deckerville Community Hospital
- Henry Ford Macomb Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Assoc of Port Huron | Cardiovascular Disease | Current | Accepting new patients |
Locations
1222 10th Ave
Port Huron, MI 48060
Phone (810) 985-9681
Interoperability endpoints
- anubhav.jain.p1@direct.porthuronheartcenter.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ajain849267@direct.hfhs.org
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Port Huron, MI
- NPI 1033198593
Cardiovascular Disease, MI
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Deckerville, MI
- NPI 1164818977
Hospital
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Hospital
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
Hospital
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1770017360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 W UNIVERSITY DR # 2-SOUTH",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W UNIVERSITY DR # 2-SOUTH",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483071863",
"telephone_number": "248-601-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "ANUBHAV",
"credential": "M.B.B.S, M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-20",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.