JAISON JACOB JOHN DO
NPI 1053932293
Internal Medicine - Cardiovascular Disease in Plainview, NY
About Jaison Jacob John Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAISON JACOB JOHN DO (NPI 1053932293) is an individual cardiovascular disease provider in Plainview, New York, licensed in New York (342481) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Temple.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaison Jacob John Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaison John reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLAINVIEW, NY 11803
Frequently 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 Jaison John's NPI number?
The NPI number for Jaison John is 1053932293. It was assigned to this individual provider in the NPPES registry on April 28, 2020.
Where is Jaison John located?
Jaison John practices at 1600 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 433-3600.
What is Jaison John's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Jaison John enrolled in Medicare?
Yes. Jaison John is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaison John's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaison John reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). The 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 Jaison John's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jaison John was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Jaison Jacob John, DO · NPI 1053932293
Cardiovascular Disease physician in Plainview, New York. Individual provider, active in the CMS NPPES registry since April 28, 2020.
## Identity
- **NPI:** 1053932293 (Entity type: Individual)
- **Enumerated:** April 28, 2020
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 342481 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 OLD COUNTRY RD, Plainview, NY 11803-5013
- **Phone:** (516) 433-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053932293) · Data from the CMS NPPES public registry.