ANJU JAIN (PA-C) – Physician Assistant, NPI 1174712749
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for ANJU JAIN (PA-C)
15230, 15th Avenue Northeast, Paramount Park, Shoreline, King County, Washington, 98155, United States
SHORELINE, WA 981557130
Phone: (206) 361-3053
Fax: (206) 361-3604
Type: Mailing
747 Broadway
Seattle, WA 981224379
Phone: (206) 215-2520
Fax: (206) 386-3180
Type: Location
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
747 BROADWAY
SEATTLE, WA 981224379
Phone: (206) 215-2520
Fax: (206) 386-3180
Type: Location
PO BOX 50095
SEATTLE, WA 981955095
Phone:
Type: Mailing
1959 NE PACIFIC ST.
SEATTLE, WA 981950001
Phone: (206) 520-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-01-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080125000340 | I | Physician Assistant | WA | TBD |
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.
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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 58 | 32 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 56 | 18 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 98155)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y | WA | |
| Infectious Disease | OR | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA |
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