Active NPI
Surbhi Jain, MD
- Obstetrics & Gynecology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2023010221
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023010221 | MO | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betty Jean Kerr People'S Health Centers | Current | Accepting new patients | |
| County of St Louis Division of Fiscal Management | Current | Accepting new patients | |
| Betty Jean Kerr People'S Health Centers | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| County of St Louis Division of Fiscal Management | Current | Accepting new patients | |
| SSM Health Care Group | Obstetrics & Gynecology | Current | 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
- sjain454803@direct-ehr-ssmhc.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1194797787
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Obstetrics & Gynecology
-
- State or Local Public Health Clinic/Center
- Saint Louis, MO
- NPI 1780639088
-
- Community/Behavioral Health Agency
- Saint Louis, MO
- NPI 1679604318
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.