Active NPI
Samir F Jain, M.D.
- Internal Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD439895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232359401 | Other | PA | MAIN LINE HEALTHCARE TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IN
- 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
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP01023 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current | 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 | Current | Accepting new patients |
| Fayette Physician Network Inc | Internal Medicine | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Regional Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Pottstown Clinic Company LLC | Internal Medicine | Current | Accepting new patients |
| Phoenixville Clinic Company LLC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Apogee Medical Group Indiana PC | Internal Medicine | Current | Accepting new patients |
| St. Luke's Physician Group, Inc. | Current | Accepting new patients | |
| Pennsylvania Hospitalist Group, LLC | Hospitalist | Current | Accepting new patients |
| Fayette Physician Network Inc | Current | Accepting new patients | |
| Gslpg, Inc | Current | Accepting new patients | |
| Steward Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| St Luke's Physician Group Inc | Current | 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
- sjain166374@direct-guthrie.org
- sjain998321@direct.deaconess.com
- sjain314763@direct-sluhn.org
- 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.
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
-
- Specialist
- Orwigsburg, PA
- NPI 1366006702
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1558126342
-
dba South Mountain Family Practice
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1568633535
PA
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
dba Cardiology Limerick Tower Health Medical Group
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
Hospitalist
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
Internal Medicine
-
dba Emergency Medicine Pottstown Tower Health Medical Group
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
Internal Medicine
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
-
dba Robert Packer Hospital, Towanda Campus
- General Acute Care Hospital
- Towanda, PA
- NPI 1134734528
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
-
dba St. Luke's Partial Hospitalization Program
- Adult Mental Health Clinic/Center
- Lehighton, PA
- NPI 1962094920
Hospital
-
- General Acute Care Hospital
- Stroudsburg, PA
- NPI 1396194197
-
dba Wilkes Barre General Hospital
- Clinic/Center
- Wilkes Barre, PA
- NPI 1053554378
Hospital
-
dba Wilkes Barre General Hospital
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.