DR. SANJAY RAJ JAIN MD,PHD
NPI 1619919750
Internal Medicine - Hematology in Riverdale, GA

Q: What is Sanjay Jain's NPI number?

The NPI number for Sanjay Jain is 1619919750. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Dr. Sanjay Raj Jain MD, Phd.

Q: What is Sanjay Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Jain was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

34 UPPER RIVERDALE RD SE, SUITE 200, RIVERDALE, GA 30274(770) 996-0622(770) 996-1492 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Sanjay Raj Jain Md,phd NPPES

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

DR. SANJAY RAJ JAIN MD,PHD (NPI 1619919750) is an individual hematology provider in Riverdale, Georgia, licensed in Georgia (047455) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Harvard Medical School (1999).

NPPES Registry Identity

NPI1619919750

Entity TypeIndividualMale

Primary Taxonomy207RH0000X

Provider Legal NameDR. SANJAY RAJ JAINCredential: MD,PHD

Location Address34 UPPER RIVERDALE RD SE, SUITE 200Riverdale, GA 30274-2635

Mailing Address34 Upper Riverdale Rd Se, Suite 200Riverdale, GA 30274-2635 · (770) 996-0622 · Fax (770) 996-1492

Phone(770) 996-0622

Fax(770) 996-1492

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1999

Enumeration DateJune 12, 2006

Last NPPES UpdateJune 18, 2013

✔ NPI 1619919750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0000X

License✔ Licensed in GA · 047455

Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 227047 (MA)

34 UPPER RIVERDALE RD SE, Riverdale, GA 30274

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Other Names 1

Professional Name (2)Dr. Sanjay Raj Jain Md, Phd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjay Raj Jain Md,phd 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 ID840296554

PECOS Enrollment IDI20250624002679

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

92 services70 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110001

Location1200 Memorial DriveDalton, GA 30720 · Whitfield County

Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 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

$172.43 typical visit price

range $56.84 – $172.43

Typical copayment $43.10 (range $14.21 – $43.10)

Most-billed visit code 99205

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW HOPE URGENT CARE OF CLAYTON

Clinic/Center (Urgent Care)

34 UPPER RIVERDALE RD SE, SUITE 100-H
RIVERDALE, GA 30274

Clayton County (770) 907-7288

MERILEE BEESLEY RN

Registered Nurse (Wound Care)

34 UPPER RIVERDALE RD SE
RIVERDALE, GA 30274

Clayton County (470) 591-8819

DR. ANDRE ST. CLAIR STUART M.D.

Family Medicine (Adult Medicine)

34 UPPER RIVERDALE RD SE, SUITE 100 A
RIVERDALE, GA 30274

Clayton County (770) 907-7222

PETER K LEE MD PC

Internal Medicine

34 UPPER RIVERDALE RD SE, SUITE 100A
RIVERDALE, GA 30274

Clayton County (770) 907-7222

ATLANTA SOUTH ENDOSCOPY CENTER LLC

Clinic/Center (Endoscopy)

34 UPPER RIVERDALE RD SE, SUITE 201
RIVERDALE, GA 30274

Clayton County (678) 904-9710

MR. MARK EDWARD COUCH FNP-C

Nurse Practitioner (Family)

34 UPPER RIVERDALE RD SE, SUITE 100A
RIVERDALE, GA 30274

Clayton County (770) 907-7222

DR. AKINWOLE A AWUJO MD

Internal Medicine (Hematology & Oncology)

34 UPPER RIVERDALE RD SE, SUITE 200
RIVERDALE, GA 30274

Clayton County (770) 996-0622

SOUTHERN REGIONAL ACCIDENT & INJURY INC.

Chiropractor

34 UPPER RIVERDALE RD SE, SUITE 100D
RIVERDALE, GA 30274

Clayton County (770) 991-1227

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 Sanjay Jain's NPI number?

The NPI number for Sanjay Jain is 1619919750. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Dr. Sanjay Raj Jain MD, Phd.

Where is Sanjay Jain located?

Sanjay Jain practices at 34 Upper Riverdale Rd SE Suite 200, Riverdale, GA 30274. The listed phone number is (770) 996-0622.

What is Sanjay Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Sanjay Jain enrolled in Medicare?

Yes. Sanjay Jain 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.

What insurance does Sanjay Jain accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Sanjay Jain 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 Sanjay Jain affiliated with any hospitals?

According to CMS data, Sanjay Jain is affiliated with Hamilton Medical Center, Grady Memorial Hospital and Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjay Jain was last updated on June 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.