ATUL KUMAR JAIN, M.D.

NPI 1194905711, individual, San Diego, CA, Ophthalmology

Evidence tier

No indicators

No detector reached this NPI and it appears on none of the loaded lists.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	ATUL KUMAR JAIN, M.D.
Type	Individual
Status	Active
NPI issued	November 12, 2007, last updated August 26, 2010
Practice location	7695 CARDINAL COURT, SUITE 100, San Diego, CA 92123-3357, 858-609-7100
Specialties	Ophthalmology (207W00000X, primary, license A92495 CA)

In this area

74 providers in San Diego, CA carry an indicator in the public record, with $149.6M at stake between them. The most common is more hours than a day holds, on 34 of them, followed by part of a provider network on 29. 8 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	MICHAEL I KELLER M.D. INC San Diego, CA, ranked 124	$141K	Listed on the CA Medicaid exclusion list since December 10, 2020. Medicaid still paid claims in 18 later months, $141,240 in total.
1	ROOZBEH BADII San Diego, CA, ranked 199	$45K	Listed on the OIG exclusion list and the NY Medicaid exclusion list and the CA Medicaid exclusion list since February 15, 2018. Medicaid still paid claims in 15 later months, $44,839 in total.
1	CHIVANO CHHIENG San Diego, CA, ranked 231	$24K	Listed on the CA Medicaid exclusion list since July 14, 2020. Medicaid still paid claims in 12 later months, $23,669 in total.
1	JOHN QIAN San Diego, CA, ranked 232	$23K	Listed on the CA Medicaid exclusion list since February 11, 2022. Medicaid still paid claims in 5 later months, $23,392 in total. and 3 more
1	CHRISTOPHER HOLT San Diego, CA, ranked 350	$3K	Listed on the CA Medicaid exclusion list since June 29, 2021. Medicaid still paid claims in 3 later months, $2,891 in total.
1	EGISTO SALERNO San Diego, CA, ranked 423	$395	Listed on the CA Medicaid exclusion list since November 28, 2001. Medicaid still paid claims in 1 later month, $395 in total.
1	MOBILE CARE MEDICAL PROVIDERS San Diego, CA, ranked 441	$103	Listed on the Medicare revocation list since March 11, 2024. Medicaid still paid claims in 1 later month, $103 in total. and 2 more
1	BLANCA CARDENAS San Diego, CA, ranked 442	$103	Listed on the Medicare revocation list since March 11, 2024. Medicaid still paid claims in 1 later month, $103 in total.

All 74 in CA

Recent enforcement in CA

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJPleaded guiltyAug 27, 2026

Anaheim Woman Pleads Guilty to Submitting More Than $2.2 Million in Fraudulent Hospice Care Claims to Medicare

Galbraith submitted approximately $2,266,694 in claims to Medicare for hospice services for beneficiaries who did not have a terminal illness with a life expectancy of six months or less, and Medicare paid her company approximately $2,140,606.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. submitted claims to Medicare for skin cancer tests conducted with an unvalidated positive control range and for tests lacking sufficient patient RNA, and did not retract results or adequately refund Medicare.

DOJCivil settlementAug 26, 2026

DermTech Inc. to Pay Up to $5M to Resolve Allegations It Submitted False Claims to Medicare for Unreliable Skin Cancer Tests

DermTech Inc. billed Medicare for skin cancer tests conducted using an unvalidated positive control range and for tests with insufficient patient RNA, and did not retract the results or adequately refund Medicare.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4 Million to Settle False Claims Act Lawsuit

Monogram knowingly submitted diagnosis codes in four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to Medicare Advantage Organizations.

DOJCivil settlementAug 24, 2026

Medicare Advantage Provider Monogram Health Agrees to Pay $2.4M to Settle False Claims Act Suit

Monogram Health knowingly submitted diagnosis codes within four HCCs that were not clinically accurate, not supported by medical record documentation, and/or did not require or affect patient care, inflating Medicare Advantage beneficiaries' risk scores and causing CMS to make higher capitated payments to MAOs.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

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