Active NPI
Alok Jain, MD
- Psychiatry Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 105491
- Practice address
- 3600 S National Ave
Springfield, MO 65807-7311 - Phone
- (417) 322-6622
- Fax
- (417) 350-1935
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 105491 | MO | |
| Family Medicine Physician | 207Q00000X | E-13823 | AR | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 105491 | MO | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | E-13823 | AR | |
| Psychiatry Physician | 2084P0800X | E-13823 | AR | |
| Psychiatry Physician | 2084P0800X | 105491 | MO | Primary |
Addresses
Primary practice location
3600 S National Ave
Springfield, MO 65807-7311
Mailing address
3600 S National Ave
Springfield, MO 65807-7311
Phone (417) 322-6622
Other practice location 1
2000 S Promenade Blvd Ste 201
Rogers, AR 72758-8609
Phone (479) 427-7722
Other practice location 2
5548 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 322-6622
Other practice location 3
1505 E Bradford Pkwy
Springfield, MO 65804-6566
Phone (417) 322-6622
Other practice location 4
2005 W Elm St
Rogers, AR 72758-4018
Phone (479) 427-7722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136508001 | Medicaid | AR | |
| 203755616 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2005 W Elm St
Eustasis Psychiatric and Addiction Health
Rogers, AR 72758-4018
Phone (479) 427-7722
3600 S National Ave
Springfield, MO 65807-7311
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.1 of 100
- Quality
- 82.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-13823 | AR | MD | Psychiatry Physician |
| 105491 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honour Brite LLC | Family Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Eustasis Foundation, Inc | Past | Accepting new patients |
Locations
2005 W Elm St
Rogers, AR 72758
Phone (479) 427-7722
2000 S Promenade Blvd
Ste 201
Rogers, AR 72758
Phone (479) 427-7722
5548 N Farmer Branch Rd
Ozark, MO 65721
Phone (417) 269-2215
3600 S National Ave
Springfield, MO 65807
Phone (417) 322-6622
3100 S National Ave
Ste 103
Springfield, MO 65807
Phone (417) 322-6622
1505 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 281-0053
Interoperability endpoints
- alok.jain.1@21190.direct.athenahealth.com
- alok.jain@cernerdirect.coxhealth.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.
-
- Voluntary or Charitable Agency
- Springfield, MO
- NPI 1386257780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1285630095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077311",
"telephone_number": "417-322-6622",
"fax_number": "417-350-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077311",
"telephone_number": "417-322-6622",
"fax_number": "417-350-1935"
}
],
"practiceLocations": [
{
"address_1": "2000 S Promenade Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727588609",
"country_code": "US",
"telephone_number": "479-427-7722",
"fax_number": "479-427-7721",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5548 N Farmer Branch Rd",
"address_purpose": "LOCATION",
"city": "Ozark",
"state": "MO",
"postal_code": "657215315",
"country_code": "US",
"telephone_number": "417-322-6622",
"fax_number": "417-350-1935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 E Bradford Pkwy",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658046566",
"country_code": "US",
"telephone_number": "417-322-6622",
"fax_number": "417-350-1935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 W Elm St",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727584018",
"country_code": "US",
"telephone_number": "479-427-7722",
"fax_number": "479-427-7722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIN",
"first_name": "ALOK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "105491",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-13823",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MO",
"license": "105491",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "AR",
"license": "E-13823",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-13823",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "105491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136508001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203755616",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.