RITA JEN (MD) – Urology Physician, NPI 1215316658

RITA JEN (MD) is a healthcare provider. based in Los angeles, California. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 91302 (GA). The NPI Number for RITA JEN (MD) is 1215316658

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
RITA JEN (MD)
NPI
1215316658
Phone
(323) 865-3589
Address
1441 EASTLAKE AVE STE 7416
Enumeration Date
19 May 2015
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4047787525
Graduation Year
2015 (11 years ago)
PAC ID
0446565477
Group Practice PAC ID
8820901408
Professional Enrollment ID
I20221006001859
Address ID
GA303221013AT1365XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

1,307 UROLOGY in CA

Provider Addresses for RITA JEN (MD)

  • 1441 EASTLAKE AVE STE 7416

    LOS ANGELES, CA 900895000

    Phone: (323) 865-3589

    Type: Location

  • 1441 EASTLAKE AVE

    STE 7416

    LOS ANGELES, CA 900891020

    Phone: (323) 865-3589

    Type: Mailing

  • 1365 CLIFTON RD NE # B1400

    ATLANTA, GA 303228302

    Phone: (404) 778-4898

    Fax: (404) 778-4006

    Type: Location

  • 2020 Peachtree Rd NW

    Atlanta, GA 303091465

    Phone: (404) 352-2020

    Type: Location

  • 775 POPLAR RD STE 160A

    NEWNAN, GA 302658302

    Phone: (770) 400-4630

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,593.

Total Amount is formed as General ($1,593) + Research ($0) + Ownership ($0) = $1,593.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boston Scientific Corporation ($446).

Total Amount

$1,593

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,593

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221006001859IUrologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test247164$0
99213Established patient office or other outpatient visit, 20-29 minutes154110$0
51798Ultrasound measurement of bladder capacity after voiding109104$0
99203New patient office or other outpatient visit, 30-44 minutes5151$0
99204New patient office or other outpatient visit, 45-59 minutes4848$0
View full utilization report →

Insurance plans in this area (ZIP 90089)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820901408View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA
Internal MedicineGA
Physician AssistantFL
Interventional Radiology, Diagnostic RadiologyKY
Anesthesiology AssistantGA
-CA
D E R M A T O L O G YGA
Interventional Radiology, Diagnostic RadiologyNC
Physician AssistantGA
-GA

Reviews

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Frequently asked questions

How is RITA JEN (MD) identified in CMS data?
CMS-hosted NPPES data lists RITA JEN (MD) with NPI 1215316658.
Is RITA JEN (MD) listed as active for patients and plans?
The listing shows RITA JEN (MD) as active in the NPI system.
What healthcare role does RITA JEN (MD) hold?
Scheduling teams often label RITA JEN (MD) under Urology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for RITA JEN (MD)?
RITA JEN (MD)'s geographic hint is Los Angeles, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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