Individual provider Active NPI

Amit Jain, M.D., M.B.A.

  • Pediatrics Physician
  • Glendale, AZ
National Provider Identifier
1043552706
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
W2635 Issued in TX
Practice address
6206 W Bell Rd
Glendale, AZ 85308-3750
Phone
(480) 882-4545
Fax
(602) 863-5851
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X W2635 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 54746 AZ
Pediatrics Physician 208000000X LL2445 NV
Pediatrics Physician 208000000X 69601 TN

Addresses

Primary practice location

6206 W Bell Rd
Glendale, AZ 85308-3750

Mailing address

2711 Foster Ave
Nashville, TN 37210-5307
Phone (615) 227-3000

Other practice location 1

905 Main St
Nashville, TN 37206-3684
Phone (615) 227-3000

Other identifiers 4

IdentifierTypeStateIssuer
54746OtherAZARIZONA MD LICENSE
69601OtherTNTN STATE LICENSE
A148127OtherCACA PHYSICIAN AND SURGEON LICENSE
LL2445OtherNVMEDICAL RESIDENT STUDENT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 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
I20231027002574 TN Practitioner - Pediatric Medicine 6002049699 Reassigns benefits to 1 organization
I20260205004544 TX Practitioner - Pediatric Medicine 6002049699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Albany Medical College of Union University, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
69601TNMDPediatrics Physician
W2635TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Pediatrics CurrentSince Mar 26, 2026 Accepting new patients
United Neighborhood Health Services, Inc. CurrentSince Dec 4, 2023 Accepting new patients
United Neighborhood Health Services, Inc Current Accepting new patients
United Neighborhood Health Services, Inc CurrentSince Dec 4, 2023 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Mar 26, 2026 Accepting new patients

Locations

617 S 8th St
Nashville, TN 37206
Phone (615) 226-1695

2711 Foster Ave
Nashville, TN 37210
Phone (615) 620-8647

905 Main St
Nashville, TN 37206

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045

701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800

6416 Broadway St
Galveston, TX 77551
Phone (409) 744-5437

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2785 Gulf Fwy S
Ste 165
League City, TX 77573
Phone (832) 505-0139

Interoperability endpoints

  • Direct secure messaging: amit.jainmd.p1@direct.neighborhoodhealthtn.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1043552706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 FOSTER AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372105307",
            "telephone_number": "615-227-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083750",
            "telephone_number": "480-882-4545",
            "fax_number": "602-863-5851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Main St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372063684",
            "country_code": "US",
            "telephone_number": "615-227-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "AMIT",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "W2635",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "54746",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "LL2445",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "69601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MD LICENSE",
            "identifier": "54746",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN STATE LICENSE",
            "identifier": "69601",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHYSICIAN AND SURGEON LICENSE",
            "identifier": "A148127",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL RESIDENT STUDENT LICENSE",
            "identifier": "LL2445",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.