NPIMap

Individual provider Active NPI

Varun Jain, M.D.

  • Internal Medicine Physician
  • Hartford, CT
National Provider Identifier
1750764379
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57043 Issued in CT
Practice address
114 Woodland Street
Hartford, CT 06105-1299
Phone
(860) 714-7446
Fax
(860) 714-1508
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MTL002867 DC
Internal Medicine Physician 207R00000X 57043 CT Primary

Addresses

Primary practice location

114 Woodland Street
Hartford, CT 06105-1299

Mailing address

114 Woodland St
Department of Medicine
Hartford, CT 06105-1299
Phone (860) 714-7446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180530001859 CT Practitioner - Internal Medicine 7911262613 Reassigns benefits to 3 organizations
I20200203000642 MA Practitioner - Internal Medicine 7911262613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-0549

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57043CTMDInternal Medicine Physician
MTL002867DCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 9, 2018 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine Current Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Apr 7, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Sep 25, 2025 Accepting new patients
Mercy Inpatient Medical Associates Inc. Internal Medicine CurrentSince Dec 16, 2019 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Apr 7, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Internal Medicine CurrentSince Jul 9, 2018 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Sep 25, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212

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 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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1750764379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WOODLAND ST",
            "address_2": "DEPARTMENT OF MEDICINE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051299",
            "telephone_number": "860-714-7446",
            "fax_number": "860-714-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WOODLAND STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051299",
            "telephone_number": "860-714-7446",
            "fax_number": "860-714-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "VARUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": "MTL002867",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "57043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.