Individual provider Active NPI

Vikas C. Jain, M.D.

  • Cardiovascular Disease Physician
  • Grapevine, TX
National Provider Identifier
1477555092
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
L4468 Issued in TX
Practice address
1643 Lancaster Dr
Suite 203
Grapevine, TX 76051-3593
Phone
(817) 329-7670
Fax
(817) 416-0145
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X L4468 TX Primary
Nuclear Cardiology Physician 207UN0901X L4468 TX

Addresses

Primary practice location

1643 Lancaster Dr
Suite 203
Grapevine, TX 76051-3593

Mailing address

1643 Lancaster Dr
Suite 203
Grapevine, TX 76051-3593
Phone (817) 329-7670

Other identifiers 3

IdentifierTypeStateIssuer
153131104MedicaidTX
8CM936OtherTXBCBSTX
153131105MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090312000521 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143302778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

2020 W Hwy 114
Suite 200
Grapevine, TX 76051-8648
Phone (817) 416-7214

2020 W State Hwy 114 120
Baylor Family Med Ctr Grapevine
Grapevine, TX 76051-8648
Phone (817) 912-8300

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6000 W Spring Creek Pkwy
220 Baylor Scott and White Cardiovascular Con
Plano, TX 75024-3578
Phone (469) 800-4400

621 N Hall St
Suite 400 Cardiology Consultants of Texas
Dallas, TX 75226-1316
Phone (214) 824-8721

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Cardiovascular Disease CurrentSince Sep 1, 2010 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 1, 2010 Accepting new patients
Cardiovascular Specialty Associates of North Texas, PA Cardiovascular Disease Past Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1643 Lancaster Dr
Ste 203
Grapevine, TX 76051
Phone (817) 329-7670

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

2020 W State Highway 114
Ste 200
Grapevine, TX 76051
Phone (817) 416-7214

620 S Main St
Ste 240
Keller, TX 76248
Phone (817) 912-8150

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: vjain226448@direct.sw.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Dec 4, 2008
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Dec 4, 2008
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1477555092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR",
            "address_2": "SUITE 203",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-329-7670",
            "fax_number": "817-416-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR",
            "address_2": "SUITE 203",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-329-7670",
            "fax_number": "817-416-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "VIKAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L4468",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "L4468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153131104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8CM936",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153131105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.