JAY MAINTHIA
NPI 1306420781
Family Medicine in Roslindale, MA

Active since May 11, 2021PECOS EnrolledAccepts Medicare Assignment
4199 WASHINGTON STREET, SUITE 1, ROSLINDALE, MA 02131(617) 323-4440 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2026, Jun 16, 2023, Mar 21, 2023 and 1 more (4 updates tracked since 2021).

About Jay Mainthia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY MAINTHIA (NPI 1306420781) is an individual family medicine provider in Roslindale, Massachusetts, licensed in Massachusetts (1015761) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1306420781
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAY MAINTHIA
Location Address4199 WASHINGTON STREET, SUITE 1Roslindale, MA 02131
Mailing Address960 Massachusetts Ave, Fl 2Boston, MA 02118
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2023
Enumeration DateMay 11, 2021
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1306420781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 1015761
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4199 WASHINGTON STREET, Roslindale, MA 02131

Secondary Practice Location 1

Location 11 Boston Medical Center Place, Dowling 5th FLBoston, MA 02118 · Phone (617) 414-4465

Other Identifiers 1

Medicaid110201935AMA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jay Mainthia is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274994520
PECOS Enrollment IDI20260527000921
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jay Mainthia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
4199 WASHINGTON ST
Roslindale, MA 02131
  • Reassigned Medicare billing, Massachusetts enrollment
  • 41 clinicians in this Medicare group
Family Medicine
1 BOSTON MEDICAL CTR PL
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 113 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
4199 WASHINGTON STREET
ROSLINDALE, MA 02131
Family Medicine
4199 WASHINGTON STREET, SUITE 1
ROSLINDALE, MA 02131
Family Medicine
4199 WASHINGTON STREET
ROSLINDALE, MA 02131

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 Jay Mainthia's NPI number?

The NPI number for Jay Mainthia is 1306420781. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Jay Mainthia located?

Jay Mainthia practices at 4199 Washington Street Suite 1, Roslindale, MA 02131. The listed phone number is (617) 323-4440.

What is Jay Mainthia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jay Mainthia enrolled in Medicare?

Yes. Jay Mainthia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jay Mainthia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Mainthia reassigns Medicare benefits to 2 organizations: Boston Medical Center Corporation (Roslindale, MA) and Boston University Family Medicine, Inc. (Boston, MA). Each 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 Jay Mainthia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Mainthia accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Jay Mainthia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jay Mainthia affiliated with any hospitals?

According to CMS data, Jay Mainthia is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Jay Mainthia was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.