PARK HEIGHTS MEDICAL CLINIC LLC
NPI 1639101462
Family Medicine in Baltimore, MD
About Park Heights Medical Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARK HEIGHTS MEDICAL CLINIC LLC (NPI 1639101462), doing business as Jai Medical Center, is a healthcare organization registered as a family medicine in Baltimore, Maryland and active in the NPI registry since July 2006. The organization lists Jai M Seunarine, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Park Heights Medical Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Park Heights Medical Clinic LLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 17 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Park Heights Medical Clinic LLC's NPI number?
The NPI number for Park Heights Medical Clinic LLC is 1639101462. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Jai Medical Center and Jai Medical Center/ Park Heights.
Where is Park Heights Medical Clinic LLC located?
Park Heights Medical Clinic LLC is located at 4340 Park Heights Ave, Baltimore, MD 21215. The listed phone number is (410) 542-8130.
What is Park Heights Medical Clinic LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Park Heights Medical Clinic LLC enrolled in Medicare?
Yes. Park Heights Medical Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Park Heights Medical Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to Park Heights Medical Clinic LLC. 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. The largest specialties are Nurse Practitioner (11), Internal Medicine (5) and Pediatric Medicine (4). Of these, 12 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Park Heights Medical Clinic LLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Park Heights Medical Clinic Llc · NPI 1639101462
Family Medicine organization in Baltimore, Maryland. Organization record, active in the CMS NPPES registry since July 6, 2006.
## Identity
- **NPI:** 1639101462 (Entity type: Organization)
- **Enumerated:** July 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** JAI MEDICAL CENTER (Doing Business As); JAI MEDICAL CENTER/ PARK HEIGHTS (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jai Seunarine, CEO
## Practice location
- **Address:** 4340 PARK HEIGHTS AVE, Baltimore, MD 21215-6725
- **Phone:** (410) 542-8130 · **Fax:** (410) 542-1826
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Internal Medicine (5), Pediatric Medicine (4); 12 practice at this address and 17 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2025
- **Other identifiers:** Medicaid 069231000 (MD); Other K614PA (MD); Other 1347 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1639101462) · Data from the CMS NPPES public registry.