Individual provider Active NPI

Kirti K Jain, MD

  • Hematology & Oncology Physician
  • Ashland, KY
National Provider Identifier
1952370066
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
23276 Issued in KY
Practice address
122 Saint Christopher Dr
Ashland, KY 41101
Phone
(606) 836-0202
Fax
(606) 836-2189
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 23276 KY Primary

Addresses

Primary practice location

122 Saint Christopher Dr
Ashland, KY 41101

Mailing address

122 Saint Christopher Dr
122 Saint Christopher Dr
Ashland, KY 41101-7016
Phone (606) 836-0202

Other identifiers 1

IdentifierTypeStateIssuer
64232762MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000256 KY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1456346907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23276WVMDInternal Medicine Physician
23276KYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 1, 2024 Accepting new patients
Kings Daughters Medcial Specialties Inc Hematology & Oncology CurrentSince Jul 1, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Synergy Dialysis Associates, LLC PastSince Apr 24, 2007 Accepting new patients
Oncology Services, Inc. PastSince Jan 1, 1997 Accepting new patients
Logan Oncology Care Associates, LLC PastSince Jun 30, 2011 Accepting new patients
Ashland Hospital Corporation Past Accepting new patients

Locations

122 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 836-0202

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

617 23rd St
Ste 19
Ashland, KY 41101
Phone (606) 325-2221

354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221

4958 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-0999

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

Interoperability endpoints

  • Direct secure messaging: kjain94820@direct.kdhealth.us

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1952370066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SAINT CHRISTOPHER DR",
            "address_2": "122 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017016",
            "telephone_number": "606-836-0202",
            "fax_number": "606-836-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SAINT CHRISTOPHER DR",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-836-0202",
            "fax_number": "606-836-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "KIRTI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "23276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64232762",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.