Individual provider Active NPI

Ashish Jain, MD

  • Psychiatry Physician
  • Crown Point, IN
National Provider Identifier
1245226331
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01060449A Issued in IN
Practice address
2050 N Main St Ste C
Crown Point, IN 46307-2048
Phone
(219) 662-3300
Fax
(219) 662-3301
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 01060449A IN Primary

Addresses

Primary practice location

2050 N Main St Ste C
Crown Point, IN 46307-2048

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

5500 S Hohman Ave
Suite 3A
Hammond, IN 46320-1965
Phone (219) 852-2513

Other identifiers 2

IdentifierTypeStateIssuer
90000854OtherILBCBSIL
200525620MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajain3731@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050816000563 IN Practitioner - Psychiatry 6305876723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

24 Joliet St
Suite 101
Dyer, IN 46311-1705
Phone (219) 864-2059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Aug 27, 2012 Accepting new patients
Franciscan Physician Network CurrentSince Aug 27, 2012 Accepting new patients
St Margaret Mercy Healthcare Centers Past Accepting new patients
St Margaret Mercy Healthcare Centers Psychiatry Past Accepting new patients
St Margaret Mercy Healthcare Centers Psychiatry Past Accepting new patients
St Margaret Mercy Healthcare Centers Past Accepting new patients

Locations

35682 Eagle Way
Chicago, IL 60678

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

2050 N Main St
Ste C
Crown Point, IN 46307
Phone (219) 661-1592

24 Joliet St
Ste 101
Dyer, IN 46311
Phone (219) 864-2059

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

5500 Hohman Ave
Ste 3A
Hammond, IN 46320
Phone (219) 852-2513

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: ajain3731@direct.franciscanalliance.org

Organizations & group practices 6

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1245226331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N MAIN ST STE C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072048",
            "telephone_number": "219-662-3300",
            "fax_number": "219-662-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 S Hohman Ave",
            "address_2": "Suite 3A",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201965",
            "country_code": "US",
            "telephone_number": "219-852-2513",
            "fax_number": "219-852-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ASHISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01060449A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "90000854",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200525620",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajain3731@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2050 N Main St Ste C",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463072048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.