Individual provider Active NPI

Sanjay Jain, MD

  • Anesthesiology Physician
  • Boston, MA
National Provider Identifier
1952386088
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
79208 Issued in MA
Practice address
1 Boston Medical Ctr PL
Boston, MA 02118
Phone
(617) 638-6950
NPI assigned
Dec 13, 2005
Last updated
Apr 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3124347MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 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
I20100816000350 MA Practitioner - Anesthesiology 6002940871 Reassigns benefits to 4 organizations
I20211112001400 CA Practitioner - Anesthesiology 6002940871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Saint Louis University School of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians
Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians

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

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 16, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince May 16, 2023 Accepting new patients
Capa Anesthesia LLC Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Dec 15, 2022 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
North Shore Ambulatory Anesthesia Partners LLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
JJM Medical Services, PC Anesthesiology CurrentSince Oct 22, 2024 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.

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

Verify at the official NPI Registry.