Active NPI
Sanjay Jain, MD
- Anesthesiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 79208
- Practice address
- 1 Boston Medical Ctr PL
Boston, MA 02118 - Phone
- (617) 638-6950
- NPI assigned
- Dec 13, 2005
- Last updated
- Apr 27, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 79208 | MA | Primary |
Addresses
Primary practice location
1 Boston Medical Ctr PL
Boston, MA 02118
Mailing address
720 Harrison Ave # Dob503
Boston, MA 02118-2371
Other practice location 1
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713
Other practice location 2
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3124347 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA
- 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
- Anesthesiology
- Education
- Saint Louis University School of Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1440 Main St
Waltham, MA 02451-1631
Phone (781) 891-9300
99 Libbey Industrial Park
Weymouth, MA 02189-3101
Phone (781) 331-0537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Capa Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Premier Anesthesia of California, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| North Shore Ambulatory Anesthesia Partners LLC | Anesthesiology | Current | Accepting new patients |
| JJM Medical Services, PC | Anesthesiology | Current | Accepting new patients |
| Cap Anesthesia, PC | Anesthesiology | Past | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
Locations
2540 East St
Concord, CA 94520
Phone (925) 674-2228
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
145 West St
Milford, MA 01757
Phone (508) 381-5600
1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562
40 Holland St
Somerville, MA 02144
Phone (617) 629-6000
1440 Main St
Waltham, MA 02451
Phone (781) 891-9300
5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1629723002
-
- Anesthesiology Physician
- Waltham, MA
- NPI 1952548265
-
- Anesthesiology Physician
- Peabody, MA
- NPI 1821535378
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- San Ramon, CA
- NPI 1770691859
-
dba Greater Boston Anesthesia Associates
- Anesthesiology Physician
- Acton, MA
- NPI 1790299592
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Weston, MA
- NPI 1497763213
-
- Anesthesiology Physician
- Fremont, CA
- NPI 1982009759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556323200000",
"number": "1952386088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 HARRISON AVE # DOB503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BOSTON MEDICAL CTR PL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-638-6950"
}
],
"practiceLocations": [
{
"address_1": "690 Canton St",
"address_2": "Suite 325",
"address_purpose": "LOCATION",
"city": "Westwood",
"state": "MA",
"postal_code": "020902321",
"country_code": "US",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "690 Canton St",
"address_2": "Suite 325",
"address_purpose": "LOCATION",
"city": "Westwood",
"state": "MA",
"postal_code": "020902321",
"country_code": "US",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "SANJAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2019-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "79208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3124347",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2019; 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.