SANJAY KUMAR JAIN MD
NPI 1730130105
Radiology - Diagnostic Radiology in San Diego, CA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Jun 2, 2026, Apr 10, 2026 and 2 more (5 updates tracked since 2019).

About Sanjay Kumar Jain Md NPPES

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

SANJAY KUMAR JAIN MD (NPI 1730130105) is an individual diagnostic radiology provider in San Diego, California, licensed in California (A65344) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1730130105
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSANJAY KUMAR JAINCredential: MD
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 57326Los Angeles, CA 90074-0001
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1996
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 10, 20265 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1730130105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in CA · A65344✔ Licensed in MD · D60342✔ Licensed in MO · 2008032319✔ Licensed in FL · ME101362
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 W ARBOR DR, San Diego, CA 92103

Secondary Practice Locations 10

Location 16655 Alvarado RdSan Diego, CA 92120-5208 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 29300 Campus Point DrLA Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 39400 Campus Point DrLA Jolla, CA 92093-1350 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 4248 Hampshire Rd Ste 100Thousand Oaks, CA 91361-2401 · Phone (805) 370-0040
Location 51100 N Kentucky AveWest Plains, MO 65775-2029 · Phone (417) 256-9111
Location 6330 Lewis StSan Diego, CA 92103-2108 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 74250 1st AveSan Diego, CA 92103-2026 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 81150 Varnum St NEWashington, DC 20017-2104 · Phone (202) 269-7392
Location 952 Underwood StOrlando, FL 32806-1110 · Phone (407) 481-7174 · Fax (321) 843-6080
Location 101415 Ross AveEl Centro, CA 92243-4306 · Phone (800) 926-8273 · Fax (888) 539-8781

Other Identifiers 3

Medicaid2565620OH
Medicaid382478AZ
Medicaid131449500FL

Accepted Insurance

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

Sanjay Kumar Jain Md 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 ID7911804968
PECOS Enrollment IDI20050603000979, I20100804000516, I20100916001099, I20120418000119, I20181127001902
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 Reassignments

22

Medicare enrollment records show Sanjay Jain reassigns Medicare billing to 22 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 360 clinicians in this Medicare group
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
Diagnostic Radiology
757 WESTWOOD PLZ
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 240 clinicians in this Medicare group
Diagnostic Radiology
657 N TOWN CENTER DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, District of Columbia enrollment
Diagnostic Radiology
7200 CATHEDRAL ROCK DR STE 230
Las Vegas, NV 89128
  • Reassigned Medicare billing, District of Columbia enrollment
  • 7 clinicians in this Medicare group
General Acute Care Hospital
2865 DAGGETT AVE
Klamath Falls, OR 97601
  • Reassigned Medicare billing, Oregon enrollment
  • 355 clinicians in this Medicare group
Radiology
1010 W BAKER RD STE 101
Baytown, TX 77521
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
Wound Care
39 MEDICAL DRIVE
Gainesville, MO 65655
  • Reassigned Medicare billing, Missouri enrollment
  • 338 clinicians in this Medicare group
Diagnostic Radiology
2301 S LAMAR BLVD
Oxford, MS 38655
  • Reassigned Medicare billing, District of Columbia enrollment
Internal Medicine
2205 GREENTREE N
Clarksville, IN 47129
  • Reassigned Medicare billing, District of Columbia enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 73

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
11,735 services113 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,545 services957 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
380 services229 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
325 services319 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
299 services240 patients
Complete ultrasound scan of abdomen 76700
A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.
263 services185 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%163 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103

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 Sanjay Jain's NPI number?

The NPI number for Sanjay Jain is 1730130105. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Sanjay Jain located?

Sanjay Jain practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Sanjay Jain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sanjay Jain enrolled in Medicare?

Yes. Sanjay 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 organizations bill Medicare for Sanjay Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Jain reassigns Medicare benefits to 22 organizations: Regents Of The University Of California (San Diego, CA), Usc Care Medical Group, Inc (Los Angeles, CA), Ucla Radiology Medical Group (Los Angeles, CA), Shelin Agrawal And Hyer PLLC (Las Vegas, NV), Ellis Bandt Birkin Kollins & Wong PLLC (Las Vegas, NV) and 17 more organizations, listed in the Medicare section above. 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 Sanjay Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Jain accept?

Health plans from AmeriHealth Caritas Next, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CareSource and Cigna HealthCare of Florida, Inc. and 3 other insurers list Sanjay Jain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sanjay Jain affiliated with any hospitals?

According to CMS data, Sanjay Jain is affiliated with Southern Ohio Medical Center, Lansdale Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Jain was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.