Individual provider Active NPI

Alok Jain, MD

  • Psychiatry Physician
  • Springfield, MO
National Provider Identifier
1285630095
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
105491 Issued in MO
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

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
136508001MedicaidAR
203755616MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100924000363 MO Practitioner - Psychiatry 4789700949 Reassigns benefits to 3 organizations
I20201221002909 AR Practitioner - Psychiatry 4789700949 Reassigns benefits to 1 organization
I20260601001041 TN Practitioner - Psychiatry 4789700949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honour Brite LLCGroup PAC ID 3971864588, 14 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
E-13823ARMDPsychiatry Physician
105491MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honour Brite LLC Family Medicine CurrentSince Jul 17, 2017 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Eustasis Foundation, Inc PastSince Aug 30, 2020 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

  • Direct secure messaging: alok.jain.1@21190.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.