2026 NPPES data Hematology & Oncology Physician NPI 1619919750 MD,PHD
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SANJAY JAIN, MD,PHD

Hematology & Oncology Physician in RIVERDALE, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
305
Medicare Part D claims · 56 beneficiaries · Hematology & Oncology Physician avg: 847
Industry payments
$38.71
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SANJAY JAIN, MD,PHD is a Hematology & Oncology Physician ([object Object]) practicing in RIVERDALE, Georgia with a Medicare Part D prescribing footprint of 305 claims across 56 beneficiaries . Industry payments of $38.71 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SANJAY JAIN, MD,PHD filed 305 Medicare Part D claims in 2023 across RIVERDALE, Georgia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SANJAY JAIN, MD,PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SANJAY JAIN, MD,PHD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/12/2006

NPI 1619919750

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

305 64% vs specialty avg

2023 prescription claims

Specialty avg: 847

Specialty distribution in Georgia

How Hematology & Oncology Physician compares to other specialties among Georgia providers

Georgia providers

Hematology & Oncology Physician share within Georgia

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Georgia

Specialty board-certification context

Estimated specialty board-certified rate — Hematology & Oncology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hematology & Oncology Physician ABMS/AOA estimate

Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hematology & Oncology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SANJAY JAIN, MD,PHD is a Hematology & Oncology Physician provider practicing in RIVERDALE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD,PHD. NPI: 1619919750. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SANJAY JAIN, MD,PHD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD,PHD credentials at 34 UPPER RIVERDALE RD SE, RIVERDALE, GA, 30274, with a listed phone of (770) 996-0622. NPI 1619919750 was issued on 06/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JAIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 305 prescription claims written by this provider, covering 56 Medicare beneficiaries and totaling roughly $276K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

34 UPPER RIVERDALE RD SE
RIVERDALE, GA 30274

Provider Details

NPI 1619919750
Specialty Hematology & Oncology Physician
Credentials MD,PHD
Gender Male
NPI Issued 06/12/2006

Hospital and facility affiliations

Facilities where SANJAY JAIN, MD,PHD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HAMILTON MEDICAL CENTER, INC
DALTON, GA
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
CHARLESTON, SC

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SANJAY JAIN, MD,PHD. Source: openpaymentsdata.cms.gov.

Total received

$39

Largest payer

Tempus AI, Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

305
Total Claims
$276K
Total Drug Cost
56
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
434
Total Day Supply
11,514
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
67.6 years
Avg HCC Risk Score
3.41
Gender Split
52% female / 48% male
Age Distribution
<65: 17, 65-74: 21, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Anastrozole
33
Prochlorperazine Maleate
23
Bicalutamide
22
Letrozole
20
Dexamethasone
16
Eliquis
Apixaban
15
Xarelto
Rivaroxaban
13
Amlodipine Besylate
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hematology & Oncology Physician Overview

How SANJAY JAIN, MD,PHD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

SANJAY JAIN, MD,PHD's 305 claims are below the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as JAIN.

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANJAY JAIN, MD,PHD's specialty?
SANJAY JAIN, MD,PHD specializes in Hematology & Oncology Physician and practices in RIVERDALE, Georgia. Credentials: MD,PHD.
How much does SANJAY JAIN, MD,PHD prescribe under Medicare Part D?
In 2023, SANJAY JAIN, MD,PHD wrote 305 Medicare Part D claims totaling $276K in drug costs for 56 beneficiaries.
Where is SANJAY JAIN, MD,PHD located?
SANJAY JAIN, MD,PHD is located at 34 UPPER RIVERDALE RD SE, RIVERDALE, GA, 30274. Phone: (770) 996-0622.
What is SANJAY JAIN, MD,PHD's NPI number?
SANJAY JAIN, MD,PHD's National Provider Identifier (NPI) is 1619919750, issued on 06/12/2006.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does SANJAY JAIN, MD,PHD prescribe most often?
Based on 2023 Medicare Part D data, SANJAY JAIN, MD,PHD's most frequently prescribed drugs include Anastrozole, Prochlorperazine Maleate, Bicalutamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANJAY JAIN, MD,PHD accept Medicare?
SANJAY JAIN, MD,PHD appears in CMS Medicare data with 305 Part D claims and 56 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANJAY JAIN, MD,PHD's credentials?
SANJAY JAIN, MD,PHD's NPI is 1619919750 with credentials MD,PHD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology