DR. SANJAY RAJ JAIN MD,PHD
NPI 1619919750
Internal Medicine - Hematology in Riverdale, GA
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
Specialties & Licenses 2
Other Names 1
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Sanjay Jain reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30318
- Reassigned Medicare billing, Georgia enrollment
- 322 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 448 clinicians in this Medicare group
Dalton, GA 30720
- Reassigned Medicare billing, Georgia enrollment
- 236 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Charleston, SC 29414
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 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.
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.
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, GAGrady Memorial Hospital
Acute Care Hospitals · Atlanta, GAMusc Medical Center
Acute Care Hospitals · Charleston, SCPhysician 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.
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.
RIVERDALE, GA 30274
RIVERDALE, GA 30274
RIVERDALE, GA 30274
RIVERDALE, GA 30274
RIVERDALE, GA 30274
RIVERDALE, GA 30274
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.
Which organizations bill Medicare for Sanjay Jain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Jain reassigns Medicare benefits to 5 organizations: Morehouse Healthcare, Inc. (Atlanta, GA), City Of Hope Medical Group Of Georgia LLC (Newnan, GA), Hamilton Medical Center, Inc. (Dalton, GA), Musc Community Physicians (Bamberg, SC) and University Medical Associates (Charleston, SC). 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 Sanjay Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjay Jain accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next 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.
# Dr. Sanjay Raj Jain, MD,PHD · NPI 1619919750
Hematology physician in Riverdale, Georgia. Individual provider, active in the CMS NPPES registry since June 12, 2006.
## Identity
- **NPI:** 1619919750 (Entity type: Individual)
- **Enumerated:** June 12, 2006
- **Primary specialty:** Internal Medicine - Hematology · taxonomy 207RH0000X
- **State license:** 047455 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 34 UPPER RIVERDALE RD SE, SUITE 200, Riverdale, GA 30274-2635
- **Phone:** (770) 996-0622 · **Fax:** (770) 996-1492
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Morehouse Healthcare, Inc. (NPI 1801832324, Atlanta, GA); City Of Hope Medical Group Of Georgia LLC (NPI 1447520333, Newnan, GA); Hamilton Medical Center, Inc. (NPI 1528056066, Dalton, GA); Musc Community Physicians (NPI 1841878006, Bamberg, SC); University Medical Associates (NPI 1760413835, Charleston, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 1999
## Record status
- **NPPES last updated:** June 18, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1619919750) · Data from the CMS NPPES public registry.