Individual provider Active NPI

Samir F Jain, M.D.

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1881836476
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD439895 Issued in PA
Practice address
127 Pawnee CT
Newark, DE 19702
Phone
(302) 379-9718
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP01023 RI
Hospitalist Physician 208M00000X MD439895 PA
Internal Medicine Physician 207R00000X MD439895 PA Primary

Addresses

Primary practice location

127 Pawnee CT
Newark, DE 19702

Mailing address

127 Pawnee CT
Newark, DE 19702-1911
Phone (484) 565-1510

Other practice location 1

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-1510

Other identifiers 1

IdentifierTypeStateIssuer
232359401OtherPAMAIN LINE HEALTHCARE TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110203000681 PA Practitioner - Internal MedicinePractitioner - Hospitalist 4587844808 Reassigns benefits to 14 organizations
I20250510000189 IN Practitioner - Internal Medicine 4587844808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians
Apogee Medical Group Indiana PCGroup PAC ID 8729155742, 70 clinicians
Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (484) 526-2440

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1021 Park Ave
Quakertown, PA 18951-0130

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

232 W 25TH St
Erie, PA 16544-0002
Phone (814) 452-5000

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

360 W Riddle St
Coaldale, PA 18218-1027

500 W Berkeley St
Uniontown, PA 15401-5514
Phone (724) 430-6899

600 E Blvd
Elkhart, IN 46514-2483
Phone (574) 389-7393

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP01023RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 1, 2022 Accepting new patients
Steward Medical Group Inc. Internal Medicine Current Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Phoenixville Clinic Company LLC Hospitalist CurrentSince Mar 1, 2022 Accepting new patients
Fayette Physician Network Inc Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Tower Health Medical Group CurrentSince Mar 1, 2022 Accepting new patients
Regional Health Services Inc Internal Medicine CurrentSince Aug 11, 2021 Accepting new patients
Pottstown Clinic Company LLC Internal Medicine CurrentSince Mar 1, 2022 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Mar 1, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Mar 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2019 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Pennsylvania Hospitalist Group, LLC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Fayette Physician Network Inc CurrentSince Aug 1, 2018 Accepting new patients
Gslpg, Inc CurrentSince Jan 2, 2024 Accepting new patients
Steward Medical Group Inc. Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 2, 2024 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients

Locations

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: sjain166374@direct-guthrie.org
  • Direct secure messaging: sjain998321@direct.deaconess.com
  • Direct secure messaging: sjain314763@direct-sluhn.org
  • Direct secure messaging: sjain48722@direct.conemaugh.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 12

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1881836476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PAWNEE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021911",
            "telephone_number": "484-565-1510",
            "fax_number": "484-565-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PAWNEE CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19702",
            "telephone_number": "302-379-9718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011763",
            "country_code": "US",
            "telephone_number": "484-565-1510",
            "fax_number": "484-565-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SAMIR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP01023",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD439895",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD439895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAIN LINE HEALTHCARE TAX ID",
            "identifier": "232359401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.