DR. SANJAY RAJ JAIN (MD,PHD) – Hematology (Internal Medicine) Physician, NPI 1619919750
Hematology (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
351 HEMATOLOGY/ONCOLOGY in GA
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Provider Addresses for DR. SANJAY RAJ JAIN (MD,PHD)
Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
SUITE 200
RIVERDALE, GA 302742635
Phone: (770) 996-0622
Fax: (770) 996-1492
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $71.
Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Tempus AI, Inc ($24).
Total Amount
$71
General + Research + Ownership
Payments
4
Total payment records
General Amount
$71
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tempus AI, Inc | $24 |
| Celgene Corporation | $18 |
| Currax Pharmaceuticals LLC | $15 |
| Merck Sharp & Dohme LLC | $14 |
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: 2025-06-24
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (898 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121220000427 | I | Internal Medicine | GA | 2023-12-31 |
| I20250624002679 | I | Hematology/Oncology | SC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 27 | 17 | $0 |
Insurance plans in this area (ZIP 30274)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | SC | |
| - | NC | |
| P S Y C H I A T R Y | SC | |
| N E U R O L O G Y | VA | |
| A N E S T H E S I O L O G Y | NC | |
| Hospitalist, Internal Medicine | NC | |
| Pediatric Medicine | NC | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine | NC | |
| Physician Assistant | SC | |
| Nurse Practitioner | SC |
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