DR. SUPRIYA JAIN M.D.
NPI 1669701298
Pediatrics - Pediatric Cardiology in Valhalla, NY
About Dr. Supriya Jain M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUPRIYA JAIN M.D. (NPI 1669701298) is an individual pediatric cardiology provider in Valhalla, New York, licensed in New York (257225) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Supriya Jain M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Supriya Jain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 clinicians in this Medicare group
Hawthorne, NY 10532
- Reassigned Medicare billing, New York enrollment
- 511 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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VALHALLA, NY 10595
VALHALLA, NY 10595
VALHALLA, NY 10595
NEW YORK, NY 10595
VALHALLA, NY 10595
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 Supriya Jain's NPI number?
The NPI number for Supriya Jain is 1669701298. It was assigned to this individual provider in the NPPES registry on December 10, 2009.
Where is Supriya Jain located?
Supriya Jain practices at New York Medical College Munger Pavilion, Room 618, Valhalla, NY 10595. The listed phone number is (914) 594-4370.
What is Supriya Jain's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Supriya Jain enrolled in Medicare?
Yes. Supriya Jain is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Supriya Jain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Supriya Jain reassigns Medicare benefits to 2 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY) and Boston Children's Health Physicians, LLP (Hawthorne, NY). 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 Supriya Jain'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 Supriya Jain was last updated on July 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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. Supriya Jain, M.D. · NPI 1669701298
Pediatric Cardiology physician in Valhalla, New York. Individual provider, active in the CMS NPPES registry since December 10, 2009.
## Identity
- **NPI:** 1669701298 (Entity type: Individual)
- **Enumerated:** December 10, 2009
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 257225 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** NEW YORK MEDICAL COLLEGE, MUNGER PAVILION, ROOM 618, Valhalla, NY 10595
- **Phone:** (914) 594-4370
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Westchester Medical Center Advanced Physician Services PC (NPI 1740687458, Valhalla, NY); Boston Children's Health Physicians, LLP (NPI 1467454967, Hawthorne, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1669701298) · Data from the CMS NPPES public registry.