BAOEN JIANG MEDICINE P.C.
NPI 1053598417
Internal Medicine in New York, NY
About Baoen Jiang Medicine P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAOEN JIANG MEDICINE P.C. (NPI 1053598417) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Baoen Jiang, M.d./present, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Baoen Jiang Medicine P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Baoen Jiang Medicine P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D0984149
Baoen Jiang MD · New York, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Baoen Jiang Medicine P.C.'s NPI number?
The NPI number for Baoen Jiang Medicine P.C. is 1053598417. It was assigned to this organization in the NPPES registry on January 29, 2008.
Where is Baoen Jiang Medicine P.C. located?
Baoen Jiang Medicine P.C. is located at 8 Chatham Sq Suite 301, New York, NY 10038. The listed phone number is (212) 964-9498.
What is Baoen Jiang Medicine P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Baoen Jiang Medicine P.C. enrolled in Medicare?
Yes. Baoen Jiang Medicine P.C. is registered in the Medicare PECOS enrollment system.
When is Baoen Jiang Medicine P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Baoen Jiang Medicine P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Baoen Jiang Medicine P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Baoen Jiang Medicine P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0984149) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Baoen Jiang Medicine P.C. was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Baoen Jiang Medicine P.c. · NPI 1053598417
Internal Medicine organization in New York, New York. Organization record, active in the CMS NPPES registry since January 29, 2008.
## Identity
- **NPI:** 1053598417 (Entity type: Organization)
- **Enumerated:** January 29, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Baoen Jiang, M.D./PRESENT
## Practice location
- **Address:** 8 CHATHAM SQ, SUITE 301, New York, NY 10038-1000
- **Phone:** (212) 964-9498 · **Fax:** (212) 566-0433
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053598417) · Data from the CMS NPPES public registry.