Individual provider Active NPI

Monish Jain, MD

  • Pediatrics Physician
  • Columbus, IN
National Provider Identifier
1730292129
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01068943A Issued in IN
Practice address
2150 25TH St Ste B
Columbus, IN 47201-3243
Phone
(812) 376-9219
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301070355 MI
Pediatrics Physician 208000000X 01068943A IN Primary

Addresses

Primary practice location

2150 25TH St Ste B
Columbus, IN 47201-3243

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Other practice location 1

301 Henry St
North Vernon, IN 47265-1030
Phone (812) 352-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjain52650@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110602000165 IN Practitioner - Pediatric MedicinePractitioner - Family Practice 9032247390 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince Feb 1, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC Pediatrics CurrentSince Feb 1, 2024 Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

1120 N Marr Rd
Columbus, IN 47201
Phone (317) 948-8896

2150 25th St
Ste B
Columbus, IN 47201
Phone (812) 376-9219

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

Organizations & group practices 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1730292129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 25TH ST STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013243",
            "telephone_number": "812-376-9219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Henry St",
            "address_purpose": "LOCATION",
            "city": "North Vernon",
            "state": "IN",
            "postal_code": "472651030",
            "country_code": "US",
            "telephone_number": "812-352-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "MONISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301070355",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01068943A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjain52650@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "2150 25th St Ste B",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472013243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.