DR. SANJAY KUMAR JAIN (MD) – Family Medicine Physician, NPI 1114453842

DR. SANJAY KUMAR JAIN (MD) is a healthcare provider. based in Olmsted twp, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.148377 (OH). The NPI Number for DR. SANJAY KUMAR JAIN (MD) is 1114453842

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANJAY KUMAR JAIN (MD)
NPI
1114453842
Phone
(440) 816-8380
Address
27076 Bagley Rd
Enumeration Date
1 May 2017
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
4408164965
Graduation Year
2017 (9 years ago)
PAC ID
5890055354
Group Practice PAC ID
8527964550
Professional Enrollment ID
I20231007000381
Address ID
OH441366951ST18181RDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for DR. SANJAY KUMAR JAIN (MD)

  • 27076 Bagley Rd

    Olmsted Twp, OH 441381104

    Phone: (440) 816-8380

    Type: Location

  • 18181 Pearl Rd Ste B202

    Strongsville, OH 441366951

    Phone: (440) 816-4965

    Type: Location

  • Drew Street, Clearwater, Pinellas County, Florida, 34625, United States

    CLEARWATER, FL 337593012

    Phone: (727) 532-1355

    Fax: (813) 635-2613

    Type: Mailing

  • 17512 DONA MICHELLE DR STE 5

    TAMPA, FL 336473265

    Phone: (813) 586-7600

    Fax: (813) 605-6062

    Type: Mailing

  • Dona Michelle Drive, Tampa, Hillsborough County, Florida, 33647, United States

    TAMPA, FL 336473265

    Phone: (813) 586-7600

    Fax: (813) 605-6062

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,254.

Total Amount is formed as General ($1,254) + Research ($0) + Ownership ($0) = $1,254.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($257).

Total Amount

$1,254

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2023-10-07

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
I20231007000381IFamily PracticeOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5236$0
99214Established patient office or other outpatient visit, 30-39 minutes4632$0
View full utilization report →

Insurance plans in this area (ZIP 44138)

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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: 8527964550View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantCO
-OH
Anesthesiology AssistantOH
-OH
-OH

Reviews

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Frequently asked questions

What is the registry number for DR. SANJAY KUMAR JAIN (MD)?
The registry entry for DR. SANJAY KUMAR JAIN (MD) shows NPI 1114453842.
Quick check: is DR. SANJAY KUMAR JAIN (MD) active?
Public NPPES data shows DR. SANJAY KUMAR JAIN (MD) with an active NPI status right now.
Which specialty label fits DR. SANJAY KUMAR JAIN (MD)?
NPPES ties DR. SANJAY KUMAR JAIN (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SANJAY KUMAR JAIN (MD)?
DR. SANJAY KUMAR JAIN (MD) is associated with Olmsted Twp, Ohio in the same public data insurers reference.
Who maintains DR. SANJAY KUMAR JAIN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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