RASHMI JAIN M.D NPI 1689906067
Internal Medicine in Avon, OH
About RASHMI JAIN M.D
Rashmi Jain is an internist established in Avon, Ohio and her medical specialization is Internal Medicine with more than 25 years of experience. The NPI number of this provider is 1689906067 and was assigned on February 2010. The practitioner's primary taxonomy code is 207R00000X with license number 57.014469 (OH). The provider is registered as an individual and her NPI record was last updated 11 years ago.
| NPI | 1689906067 |
| Provider Name | RASHMI JAIN M.D |
| Location Address | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 |
| Location Phone | (440) 695-4000 |
| Mailing Address | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Enumeration Date | 02-09-2010 |
| Last Update Date | 06-18-2012 |
An internist like Rashmi Jain is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Rashmi Jain is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Rashmi Jain is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Fairview Hospital, Cleveland Clinic and Cleveland Clinic Avon Hospital.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.89 for a new patient copayment and $25.3 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 57.014469 |
| License State | OH |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Business Address
33100 CLEVELAND CLINIC BLVD
AVON, OH
ZIP 44011
Phone: (440) 695-4000
Mailing Address
33100 CLEVELAND CLINIC BLVD
AVON, OH
ZIP 44011
Phone: (440) 695-4000
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3375715808 |
| PECOS Enrollment ID | I20111005000775 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 44011 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.74 | $173.94 | $131.59 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.18 | $43.48 | $32.89 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.31 | $141.66 | $101.2 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.32 | $35.41 | $25.3 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 30Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rashmi Jain is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| FAIRVIEW HOSPITAL | 18101 LORAIN AVENUE CLEVELAND, OH 44111 | (216) 476-7000 | Acute Care Hospitals | 360077 | |
| CLEVELAND CLINIC | 9500 EUCLID AVENUE CLEVELAND, OH 44195 | (216) 219-1916 | Acute Care Hospitals | 360180 | |
| CLEVELAND CLINIC AVON HOSPITAL | 33300 CLEVELAND CLINIC BLVD AVON, OH 44011 | (216) 636-7727 | Acute Care Hospitals | 360364 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 9 | 0 | 6 | 0 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 18 | 0 | 12 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 8 + 0 + 1 + 2 + 0 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1689906067 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922331230 | COURTNEY NOLAN DO Individual | Preventive Medicine (Sports Medicine) | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
| 1043568405 | FARA A LINQUIST AESTHETICIAN Individual | Specialist | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
| 1356774301 | ANDJELINA PUPOVAC CNP Individual | Nurse Practitioner (Primary Care) | 33100 CLEVELAND CLINIC BLVD RICHARD E. JACOBS HEALTH CENETER AVW2-1 AVON, OH 44011 (216) 798-3413 |
| 1912323064 | MR. STEPHEN PAUL BENESH PT Individual | Physical Therapist (Orthopedic) | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4543 |
| 1932526829 | MR. TIMOTHY J BUNGO PT Individual | Physical Therapist (Sports) | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4532 |
| 1881012516 | HEIDI LEHLBACH Individual | Physical Therapist | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4531 |
| 1003022849 | MRS. NANCY ALICE ADAMS P.T. Individual | Physical Therapist | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 696-4000 |
| 1669891826 | MR. LESTER GOETZ PT Individual | Physical Therapist (Orthopedic) | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4141 |
| 1609286798 | DR. KATHLEEN BURKHART PT Individual | Physical Therapist (Orthopedic) | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
| 1437569530 | MAIGHDLIN BAUMAN Individual | Physical Therapist (Orthopedic) | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4540 |
| 1639589542 | KELLY KINSEY Individual | Physical Therapist | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
| 1700296480 | BETSY VOZARY Individual | Physical Therapy Assistant | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
| 1811163496 | ELAINE M KROTH PTA Individual | Physical Therapy Assistant | 33100 CLEVELAND CLINIC BLVD 1-1 AVON, OH 44011 (440) 695-4541 |
| 1851372072 | DR. EDWARD A LEVY M.D. Individual | Plastic Surgery | 33100 CLEVELAND CLINIC BLVD MAIL CODE AVW3-1 AVON, OH 44011 (440) 695-4000 |
| 1417939109 | DR. THOMAS D. KRAMER JR. MD Individual | Emergency Medicine | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4650 |
| 1871732206 | DR. BRYAN RANDALL COSTIN M.D. Individual | Ophthalmology | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4010 |
| 1508285842 | DR. JENNIFER WORONYCZ DPT Individual | Physical Therapist (Orthopedic) | 33100 CLEVELAND CLINIC BLVD AVW1-520 AVON, OH 44011 (440) 695-4000 |
| 1316075484 | MRS. JENNIFER LEE KEHL MED., ATC, PTA Individual | Physical Therapy Assistant | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
| 1275745119 | MRS. MICHELLE LYNN DEMPSEY ATC/ PTA Individual | Physical Therapy Assistant | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
| 1811442700 | MRS. JENNIFER SMITH PT, DPT, OCS Individual | Physical Therapist (Orthopedic) | 33100 CLEVELAND CLINIC BLVD AVON, OH 44011 (440) 695-4000 |
Frequently Asked Questions
What is Rashmi Jain M.D NPI number?
The NPI number assigned to this healthcare provider is 1689906067, registered as an "individual" on February 09, 2010
Where is the provider located?
The provider is located at 33100 Cleveland Clinic Blvd Avon, Oh 44011 and the phone number is (440) 695-4000
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
How many years of experience does Rashmi Jain M.D have?
The provider has more than 25 years of experience.
Is Rashmi Jain M.D registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Rashmi Jain M.D?
Medicare beneficiaries should expect a typical cost of $131.59 with an average copayment of $32.89 for new patient appointments. Established patients should expect a typical charge of $101.2 and an average copayment of 25.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Rashmi Jain M.D?
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit.
Is Rashmi Jain M.D affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: FAIRVIEW HOSPITAL, CLEVELAND CLINIC and CLEVELAND CLINIC AVON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Rashmi Jain M.D was last updated on February 09, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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