PANKAJ JAIN
NPI 1699017095
Internal Medicine - Rheumatology in Falls Church, VA

Active since March 23, 2013PECOS EnrolledAccepts Medicare Assignment
201 N WASHINGTON ST, FALLS CHURCH, VA 22046(703) 237-4000 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pankaj Jain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANKAJ JAIN (NPI 1699017095) is an individual rheumatology provider in Falls Church, Virginia, licensed in Virginia (0101264336) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2013).

NPPES Registry Identity

NPI1699017095
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NamePANKAJ JAIN
Location Address201 N WASHINGTON STFalls Church, VA 22046-4518
Mailing Address201 N Washington StFalls Church, VA 22046-4518 · (703) 237-4000
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2013
Enumeration DateMarch 23, 2013
Last NPPES UpdateJune 16, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1699017095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in VA · 0101264336
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
201 N WASHINGTON ST, Falls Church, VA 22046

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

Pankaj Jain 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.

PECOS PAC ID9032453493
PECOS Enrollment IDI20181212000647, I20190725002079
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pankaj Jain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
8008 WESTPARK DR
Mc Lean, VA 22102
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1972275196 (Virginia)
  • 2,492 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
201 N WASHINGTON ST
FALLS CHURCH, VA 22046
Internal Medicine
201 N WASHINGTON ST
FALLS CHURCH, VA 22046
Otolaryngology
201 N WASHINGTON ST, KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER
FALLS CHURCH, VA 22046
Pharmacist
201 N WASHINGTON ST
FALLS CHURCH, VA 22046
Pharmacist
201 N WASHINGTON ST
FALLS CHURCH, VA 22046
Internal Medicine
201 N WASHINGTON ST
FALLS CHURCH, VA 22046
Pharmacist
201 N WASHINGTON ST
FALLS CHURCH, VA 22046
Nurse Practitioner (Family)
201 N WASHINGTON ST
FALLS CHURCH, VA 22046

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 Pankaj Jain's NPI number?

The NPI number for Pankaj Jain is 1699017095. It was assigned to this individual provider in the NPPES registry on March 23, 2013.

Where is Pankaj Jain located?

Pankaj Jain practices at 201 N Washington St, Falls Church, VA 22046. The listed phone number is (703) 237-4000.

What is Pankaj Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Pankaj Jain enrolled in Medicare?

Yes. Pankaj 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 organization bills Medicare for Pankaj Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Jain reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Mc Lean, VA). The 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 Pankaj 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 Pankaj Jain was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.