Individual provider Active NPI

Kishor Nathmal Jain, MD

  • Family Medicine Physician
  • Frankfort, IL
National Provider Identifier
1568537355
Registry record updated Sep 11, 2025
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(2) exclusion effective Dec 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
222 Colorado Avenue
Frankfort, IL 60423-1334
Phone
(815) 469-2123
Fax
(815) 469-2149
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary
Pediatrics Physician 208000000X IL

Addresses

Primary practice location

222 Colorado Avenue
Frankfort, IL 60423-1334

Mailing address

222 Colorado Avenue
Frankfort, IL 60423-1334
Phone (815) 469-2123

Other identifiers 2

IdentifierTypeStateIssuer
649420OtherMEDICARE PROV NUMBER
09915014OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hedges Clinic Service Corp Family Medicine Current Accepting new patients

Locations

222 Colorado Ave
Frankfort, IL 60423
Phone (815) 469-2123

21205 Owens Rd
Ste 3
Mokena, IL 60448
Phone (815) 469-2123

Organizations & group practices 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568537355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COLORADO AVENUE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231334",
            "telephone_number": "815-469-2123",
            "fax_number": "815-469-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COLORADO AVENUE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231334",
            "telephone_number": "815-469-2123",
            "fax_number": "815-469-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "KISHOR",
        "middle_name": "NATHMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROV NUMBER",
            "identifier": "649420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09915014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.