Active NPI
Nikita Jain, MD
- Medical Oncology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME178655
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129830400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Oncology | 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, LLCSheboygan Physicians Group S.C.Florida Cancer Specialists and Research Institute, LLC
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
- Manatee Memorial Hospital
- Holy Family Memorial
- Aurora Medical Center Sheboygan County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125073109 | IL | MD | Internal Medicine Physician |
| ME178655 | FL | MD | Hematology (Internal Medicine) Physician |
| 54925 | KY | MD | Hematology & Oncology Physician |
Practice roles (6 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Hematology | Current | Accepting new patients |
| Froedtert Manitowoc Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Florida Cancer Specialists & Research Institute, LLC | Hematology | Current | Accepting new patients |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Sheboygan Physicians Group, SC | Internal Medicine | Current | Accepting new patients |
| Siu Physicians & Surgeons, Inc | Family Medicine | Current | 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
- njain846883@direct.froedtert.com
- 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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
FL, Hematology
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
Internal Medicine, WI
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1477819902
Internal Medicine, WI
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Family Medicine, IL
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
Hematology
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sheboygan, WI
- NPI 1902023955
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sheboygan, WI
- NPI 1427009992
Hospital
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.