Individual provider Active NPI

Nikita Jain, MD

  • Medical Oncology Physician
  • Bradenton, FL
National Provider Identifier
1801381900
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME178655 Issued in FL
Practice address
3630 Manatee Ave W
Bradenton, FL 34205-2557
Phone
(941) 792-1881
Fax
(941) 795-3924
NPI assigned
Jun 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 54925 KY
Hematology & Oncology Physician 207RH0003X 83395 WI
Medical Oncology Physician 207RX0202X ME178655 FL Primary
Internal Medicine Physician 207R00000X 125073109 IL
Hematology (Internal Medicine) Physician 207RH0000X ME178655 FL

Addresses

Primary practice location

3630 Manatee Ave W
Bradenton, FL 34205-2557

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

4309 W Medical Center Dr # A
McHenry, IL 60050-8419
Phone (815) 759-4726

Other practice location 2

1621 N Taylor Dr
Sheboygan, WI 53081-1990
Phone (920) 452-1650

Other practice location 3

529 S Jackson St
Louisville, KY 40202-3229
Phone (502) 562-3829

Other identifiers 1

IdentifierTypeStateIssuer
129830400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240521001865 WI Practitioner - Hematology/Oncology 9638574577 Reassigns benefits to 2 organizations
I20251022003154 IL Practitioner - Medical Oncology 9638574577 Reassigns benefits to 1 organization
I20260113002166 FL Practitioner - Medical OncologyPractitioner - Hematology 9638574577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians
Sheboygan Physicians Group S.C.Group PAC ID 0648435214, 15 clinicians
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

1621 N Taylor Dr
Suite 100
Sheboygan, WI 53081-1993
Phone (920) 458-7433

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

2629 N 7TH St
Sheboygan, WI 53083-4932
Phone (920) 451-5000

2920 Superior Ave
Sheboygan, WI 53081-1944
Phone (920) 452-6000

3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (920) 459-8300

3630 Manatee Ave W
Bradenton, FL 34205-2557
Phone (941) 792-1881

Hospital & facility affiliations

  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035
  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
  • Aurora Medical Center Sheboygan County Hospital, Sheboygan, WI, CCN 520035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125073109ILMDInternal Medicine Physician
ME178655FLMDHematology (Internal Medicine) Physician
54925KYMDHematology & Oncology Physician

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Jan 6, 2026 Accepting new patients
Froedtert Manitowoc Medical Group, LLC Internal Medicine CurrentSince Dec 18, 2024 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Jan 6, 2026 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Oct 8, 2025 Accepting new patients
Sheboygan Physicians Group, SC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc Family Medicine CurrentSince Oct 8, 2025 Accepting new patients

Locations

3630 Manatee Ave W
Bradenton, FL 34205
Phone (941) 792-1881

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

315 W Carpenter St
Springfield, IL 62702
Phone (217) 545-5817

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

1621 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 458-4419

2920 Superior Ave
Sheboygan, WI 53081
Phone (920) 452-6000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: njain846883@direct.froedtert.com
  • Direct secure messaging: njain444355@ewd.direct.hshs.org

Organizations & group practices 6

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": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1801381900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052557",
            "telephone_number": "941-792-1881",
            "fax_number": "941-795-3924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4309 W Medical Center Dr # A",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508419",
            "country_code": "US",
            "telephone_number": "815-759-4726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1621 N Taylor Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530811990",
            "country_code": "US",
            "telephone_number": "920-452-1650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "529 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023229",
            "country_code": "US",
            "telephone_number": "502-562-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "NIKITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KY",
            "license": "54925",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "83395",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME178655",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125073109",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME178655",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129830400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.