Individual provider Active NPI

Anil K Jain, M.D.

  • Psychiatry Physician
  • West Bloomfield, MI
National Provider Identifier
1013027309
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301048210 Issued in MI
Practice address
4483 Laurel Club Cir Apt 25
West Bloomfield, MI 48323-2905
Phone
(734) 751-3037
Fax
(734) 591-3182
NPI assigned
Aug 30, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301048210 MI Primary

Addresses

Primary practice location

4483 Laurel Club Cir Apt 25
West Bloomfield, MI 48323-2905

Mailing address

300 Cornell St
Canton, MI 48188-1000
Phone (734) 751-3037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210406000288 CO Practitioner - Psychiatry 0840341905 Reassigns benefits to 1 organization
I20251121001275 MI Practitioner - Psychiatry 0840341905 Practice locations: West Bloomfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Cornell St
Canton, MI 48188-1000

4483 Laurel Club Cir
Apt 25
West Bloomfield, MI 48323-2905
Phone (734) 751-3037

4483 Laurel Club Cir Apt
Suite 25
West Bloomfield, MI 48323-2905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301048210MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc Current Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Nov 8, 2021 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Nov 8, 2021 Accepting new patients
Great Lakes Physicians PC PastSince Jan 15, 2007 Accepting new patients
A Stepping Stone, LLC Psychiatry PastSince Oct 1, 2023 Accepting new patients
A Stepping Stone, LLC Psychiatry PastSince Oct 1, 2023 Accepting new patients
New Center Community Mental Health Services PastSince Sep 2, 2008 Accepting new patients
New Center Community Mental Health Services Past Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

6507 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-0797

6509 S Santa Fe Dr
Littleton, CO 80120
Phone (303) 730-3303

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1013027309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CORNELL ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881000",
            "telephone_number": "734-751-3037",
            "fax_number": "734-591-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4483 LAUREL CLUB CIR APT 25",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232905",
            "telephone_number": "734-751-3037",
            "fax_number": "734-591-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301048210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.