Active NPI
Sachin Jain, MD
- Surgery Physician
- Indianapolis, IN
National Provider Identifier
1821550427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01093889A
- Practice address
- 720 Eskenazi Ave
Indianapolis, IN 46202-5187 - Phone
- (317) 880-0000
- NPI assigned
- Apr 2, 2019
- Last updated
- Jun 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01093889A | IN | Primary |
Addresses
Primary practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Mailing address
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190916000635 | WV | Order and Referring Only - General Surgery | 3678802725 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 360 | WV | MD | Professional Counselor |
| 01093889A | IN | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1821550427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 ESKENAZI AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 ESKENAZI AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025187",
"telephone_number": "317-880-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIN",
"first_name": "SACHIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01093889A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.