Individual provider Active NPI

Avni Jain, M.D., M.B.B.S.

  • Family Medicine Physician
  • Germantown, MD
National Provider Identifier
1982775417
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0073580 Issued in MD
Practice address
19735 Germantown Road
Suite 310
Germantown, MD 20874
Phone
(301) 972-6444
Fax
(301) 972-0938
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 49157 MN
Family Medicine Physician 207Q00000X D0073580 MD Primary

Addresses

Primary practice location

19735 Germantown Road
Suite 310
Germantown, MD 20874

Mailing address

19735 Germantown Road
Suite 310
Germantown, MD 20874
Phone (301) 972-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20120508000054 DC Practitioner - Family PracticePractitioner - Internal Medicine 1254436157 Reassigns benefits to 3 organizations
I20221010000016 MD Practitioner - Family PracticePractitioner - Internal Medicine 1254436157

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 209
Rockville, MD 20850-7547
Phone (301) 500-0261

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Privia Care Center LLC CurrentSince Aug 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Privia Care Center LLC CurrentSince Aug 1, 2023 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

19735 Germantown Rd
Ste 310
Germantown, MD 20874
Phone (301) 972-6444

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

10110 Molecular Dr
Ste 209
Rockville, MD 20850
Phone (301) 500-0261

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: avni.jain.1@8042.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1982775417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN ROAD",
            "address_2": "SUITE 310",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "301-972-6444",
            "fax_number": "301-972-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19735 GERMANTOWN ROAD",
            "address_2": "SUITE 310",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20874",
            "telephone_number": "301-972-6444",
            "fax_number": "301-972-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "AVNI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49157",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0073580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.