RASHMI JAIN M.D NPI 1689906067
Internal Medicine in Avon, OH

Individual Female Years of Experience 24 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About RASHMI JAIN M.D

Rashmi Jain is an internist established in Avon, Ohio and her medical specialization is Internal Medicine with more than 24 years of experience. The NPI number of Rashmi Jain 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 10 years ago.

NPI
1689906067
Provider Name RASHMI JAIN M.D
Provider Location Address33100 CLEVELAND CLINIC BLVD AVON, OH 44011
Provider Mailing Address33100 CLEVELAND CLINIC BLVD AVON, OH 44011
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?No
Enumeration Date02-09-2010
Last Update Date06-18-2012

An internist like Rashmi Jain M.d 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 Cleveland Clinic, Cleveland Clinic Avon Hospital and Fairview 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

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.57.014469
License StateOH
Taxonomy DescriptionA 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

RASHMI JAIN M.D
33100 CLEVELAND CLINIC BLVD
AVON, OH
ZIP 44011
Phone: (440) 695-4000

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Mailing Address

RASHMI JAIN M.D
33100 CLEVELAND CLINIC BLVD
AVON, OH
ZIP 44011
Phone: (440) 695-4000


PECOS Enrollment and Medicare Participation

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 ID3375715808
PECOS Enrollment IDI20111005000775
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 ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

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.

  • 35Annual 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
CLEVELAND CLINIC9500 EUCLID AVENUE
CLEVELAND, OH 44195
(216) 445-8400Acute Care Hospitals360180
CLEVELAND CLINIC AVON HOSPITAL33300 CLEVELAND CLINIC BLVD
AVON, OH 44011
(216) 636-7727Acute Care Hospitals360364
FAIRVIEW HOSPITAL18101 LORAIN AVENUE
CLEVELAND, OH 44111
(216) 476-7000Acute Care Hospitals360077

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.
1689906067
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2616918012012
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 = 77

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
Specialist33100 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
1912323064MR. STEPHEN PAUL BENESH PT
Individual
Physical Therapist (Orthopedic)33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4543
1932526829MR. TIMOTHY J BUNGO PT
Individual
Physical Therapist (Sports)33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4532
1881012516 HEIDI LEHLBACH
Individual
Physical Therapist33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4531
1003022849MRS. NANCY ALICE ADAMS P.T.
Individual
Physical Therapist33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 696-4000
1669891826MR. LESTER GOETZ PT
Individual
Physical Therapist (Orthopedic)33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4141
1609286798DR. 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 Therapist33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4000
1700296480 BETSY VOZARY
Individual
Physical Therapy Assistant33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4000
1811163496 ELAINE M KROTH PTA
Individual
Physical Therapy Assistant33100 CLEVELAND CLINIC BLVD 1-1
AVON, OH 44011
(440) 695-4541
1851372072DR. EDWARD A LEVY M.D.
Individual
Plastic Surgery33100 CLEVELAND CLINIC BLVD MAIL CODE AVW3-1
AVON, OH 44011
(440) 695-4000
1417939109DR. THOMAS D. KRAMER JR. MD
Individual
Emergency Medicine33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4650
1871732206DR. BRYAN RANDALL COSTIN M.D.
Individual
Ophthalmology33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4010
1508285842DR. JENNIFER WORONYCZ DPT
Individual
Physical Therapist (Orthopedic)33100 CLEVELAND CLINIC BLVD AVW1-520
AVON, OH 44011
(440) 695-4000
1316075484MRS. JENNIFER LEE KEHL MED., ATC, PTA
Individual
Physical Therapy Assistant33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4000
1275745119MRS. MICHELLE LYNN DEMPSEY ATC/ PTA
Individual
Physical Therapy Assistant33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4000
1811442700MRS. JENNIFER SMITH PT, DPT, OCS
Individual
Physical Therapist (Orthopedic)33100 CLEVELAND CLINIC BLVD
AVON, OH 44011
(440) 695-4000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Rashmi Jain M.d is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.