Active NPI
Rahul Jain, M.D.
- Clinical Cardiac Electrophysiology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 2020040971
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 884-2296
- Fax
- (573) 884-7743
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0068254 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | 2020040971 | MO | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 2020040971 | MO | Primary |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 01071122A | IN | |
| Hospitalist Physician | 208M00000X | MD459063 | PA |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-0001
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200093348 | Medicaid | MO | |
| 0060384 | Medicaid | OH | |
| H076050 | Other | OH | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, PA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
901 Saint Marys Dr
Suite 300
Evansville, IN 47714-0521
Phone (812) 473-2642
Hospital & facility affiliations
- University of Missouri Health Care
- Ascension St Vincent Evansville
- Moberly Regional Medical Center
- Bothwell Regional Health Center
- Lake Regional Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0068254 | MD | MD | Internal Medicine Physician |
Practice roles (11 of 18)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Internal Medicine | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| St Mary'S Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| St Mary'S Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
901 Saint Marys Dr
Ste 300
Evansville, IN 47714
Phone (812) 485-7725
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
140 N Pointe Blvd
Lancaster, PA 17601
Phone (717) 291-0700
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Networks
- KY PPO
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- IL HMO C-SNP
- IL PPO Downstate
- OH PPO
- KY PPO C-SNP
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
Interoperability endpoints
- mudocreferral@direct.health.missouri.edu
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
Internal Medicine
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
Cardiovascular Disease
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Internal Medicine Physician
- Hershey, PA
- NPI 1609841337
-
- Podiatrist
- Chambersburg, PA
- NPI 1033897228
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
- Rural Acute Care Hospital
- Osage Beach, MO
- NPI 1386619450
-
- General Acute Care Hospital
- Moberly, MO
- NPI 1770554305
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1003018201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-884-2296",
"fax_number": "573-884-7743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "RAHUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0068254",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2020040971",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MO",
"license": "2020040971",
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "01071122A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD459063",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200093348",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0060384",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H076050",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "DIRECT",
"address_1": "1 Hospital Dr",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652120001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.