Individual provider Active NPI

Surbhi Jain, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1043877301
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2023010221 Issued in MO
Practice address
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858
Phone
(314) 977-7455
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2023010221 MO
Obstetrics Physician 207VX0000X 2023010221 MO
Obstetrics & Gynecology Physician 207V00000X 2023010221 MO Primary

Addresses

Primary practice location

1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858

Mailing address

200 Hawkins Dr Dept of
Iowa City, IA 52242-1009
Phone (319) 356-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230627000985 MO Practitioner - Obstetrics/Gynecology 0941536445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Betty Jean Kerr Peoples Health CentersGroup PAC ID 5991618837, 21 clinicians

Practice addresses (Care Compare)

1031 Bellevue Ave
Suite 400
Saint Louis, MO 63117-1858
Phone (314) 977-7455

5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 367-7848

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023010221MOMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Jean Kerr People'S Health Centers CurrentSince Sep 11, 2023 Accepting new patients
County of St Louis Division of Fiscal Management CurrentSince Sep 11, 2023 Accepting new patients
Betty Jean Kerr People'S Health Centers CurrentSince Sep 11, 2023 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2023 Accepting new patients
County of St Louis Division of Fiscal Management CurrentSince Sep 11, 2023 Accepting new patients
SSM Health Care Group Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

11642 West Florissant Ave
Florissant, MO 63033
Phone (314) 830-4713

1031 Bellevue Ave
Ste 400
Saint Louis, MO 63117

6121 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 522-6410

5701 Delmar Blvd
Saint Louis, MO 63112
Phone 31436778481248

6121 N Hanley Rd
#C
Saint Louis, MO 63134
Phone (314) 615-0500

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: sjain454803@direct-ehr-ssmhc.com
  • Direct secure messaging: surbhi.jain.p1@direct.phcenters.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1043877301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR DEPT OF",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2294",
            "fax_number": "319-356-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE STE 400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171858",
            "telephone_number": "314-977-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "SURBHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "2023010221",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": "2023010221",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2023010221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.