NPIMap

Individual provider Active NPI

Anil Kumar Jain, M.D

  • Nephrology Physician
  • Indianapolis, IN
National Provider Identifier
1679539472
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
01063444A Issued in IN
Practice address
7830 Madison Ave Ste B
Indianapolis, IN 46227-5710
Phone
(317) 888-1100
Fax
(317) 888-1118
NPI assigned
Apr 21, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01063444A IN
Nephrology Physician 207RN0300X 01063444A IN Primary

Addresses

Primary practice location

7830 Madison Ave Ste B
Indianapolis, IN 46227-5710

Mailing address

7830 Madison Ave
Ste B
Indianapolis, IN 46227-5710
Phone (317) 888-1100

Other identifiers 3

IdentifierTypeStateIssuer
200245640MedicaidIN
64090376MedicaidKY
2522685MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000005 IN Practitioner - NephrologyPractitioner - Internal Medicine 7911967757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Consultants PCGroup PAC ID 7113016932, 3 clinicians

Practice addresses (Care Compare)

7830 Madison Ave
Suite B
Indianapolis, IN 46227-5710

7830 S Madison Ave
Suite B
Indianapolis, IN 46227-5710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063444AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Dialysis Company LLC CurrentSince Nov 13, 2008 Accepting new patients
Major Hospital Past Accepting new patients
Baptist Health Deaconess Madisonville Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
University Internal Medicine Associates, Inc. Internal Medicine Past Accepting new patients
West Chester Hospital LLC Internal Medicine Past Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ajain7679@direct.franciscanalliance.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679539472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 MADISON AVE",
            "address_2": "STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275710",
            "telephone_number": "317-888-1100",
            "fax_number": "317-888-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 MADISON AVE STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275710",
            "telephone_number": "317-888-1100",
            "fax_number": "317-888-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANIL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01063444A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01063444A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200245640",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64090376",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.