Individual provider Active NPI

Neeraj Jain, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Hinsdale, IL
National Provider Identifier
1316028657
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036082067 Issued in IL
Practice address
908 N Elm St
Suite 109
Hinsdale, IL 60521-3635
Phone
(630) 794-9999
Fax
(630) 794-9998
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036082067 IL Primary

Addresses

Primary practice location

908 N Elm St
Suite 109
Hinsdale, IL 60521-3635

Mailing address

908 N Elm St
109
Hinsdale, IL 60521-3635
Phone (630) 794-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040206000212 IL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 9931092517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Northeastern Ohio University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dynamic Physical Therapy, Inc.Group PAC ID 4284607680, 41 clinicians

Practice addresses (Care Compare)

1049 Lake St
Suite 201
Oak Park, IL 60301-6708

908 N Elm St
Suite 301
Hinsdale, IL 60521-3625
Phone (630) 794-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036082067ILMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Pain Management Specialists SC CurrentSince Apr 1, 2011 Accepting new patients
Pain Specialists of Greater Chicago S C PastSince Mar 30, 2000 Accepting new patients

Locations

60 E Delaware Pl
Fl 15
Chicago, IL 60611
Phone (312) 440-5150

25833 Network Pl
Chicago, IL 60673

60 E Delaware Pl
Chicago, IL 60611
Phone (312) 440-5127

908 N Elm St
Ste 109
Hinsdale, IL 60521
Phone (630) 321-0055

908 N Elm St
Ste 301
Hinsdale, IL 60521
Phone (630) 323-3540

9550 W 167th St
Orland Park, IL 60467
Phone (708) 478-7437

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367539200000",
    "number": "1316028657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "109",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-794-9999",
            "fax_number": "630-590-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST",
            "address_2": "SUITE 109",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213635",
            "telephone_number": "630-794-9999",
            "fax_number": "630-794-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "NEERAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036082067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.