Individual provider Active NPI

Vikas Jain, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Frisco, TX
National Provider Identifier
1992965156
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
A115489 Issued in CA
Practice address
4645 Avon LN Ste 340
Frisco, TX 75033-1215
Phone
(214) 308-1525
Fax
(855) 838-5251
NPI assigned
Jun 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 036140333 IL
Sleep Medicine (Family Medicine) Physician 207QS1201X A115489 CA
Sleep Medicine (Family Medicine) Physician 207QS1201X R7027 TX
Sleep Medicine (Internal Medicine) Physician 207RS0012X R7027 TX
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 036140333 IL
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A115489 CA Primary

Addresses

Primary practice location

4645 Avon LN Ste 340
Frisco, TX 75033-1215

Mailing address

4645 Avon LN Ste 340
Frisco, TX 75033-1215
Phone (214) 308-1525

Other practice location 1

300 Pasteur Dr
Palo Alto, CA 94304-2203
Phone (650) 723-4000

Other identifiers 1

IdentifierTypeStateIssuer
036140333MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vikas.jain.1@19958.direct.athenahealth.com Direct
Direct Messaging Address vjain@ch.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, TX3 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
I20140225000701 CA Practitioner - Sleep MedicinePractitioner - Family Practice 1850548421 Reassigns benefits to 1 organization
I20160817002007 IL Practitioner - Sleep Medicine 1850548421 Reassigns benefits to 1 organization
I20190515002991 TX Practitioner - Sleep Medicine 1850548421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coryell County Memorial Hospital AuthorityGroup PAC ID 7719886282, 39 clinicians
Jig International LLCGroup PAC ID 2163765025, 3 clinicians

Practice addresses (Care Compare)

1507 W Main St
Gatesville, TX 76528-1098
Phone (254) 865-8251

4645 Avon LN
Suite 340
Frisco, TX 75033-1215
Phone (214) 308-1525

Hospital & facility affiliations

  • Coryell Memorial Hospital Hospital, Gatesville, TX, CCN 451379
  • Baylor Scott & White Medical Center - Frisco Hospital, Frisco, TX, CCN 450853
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7027TXMDSleep Medicine (Family Medicine) Physician
036140333ILMDObesity Medicine (Preventive Medicine) Physician
A115489CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtuox, LLC CurrentSince Nov 1, 2019 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Central Dupage Physician Group CurrentSince Aug 11, 2016 Accepting new patients
Central Dupage Physician Group Family Medicine CurrentSince Aug 11, 2016 Accepting new patients
Stanford Health Care CurrentSince Jul 15, 2013 Accepting new patients
Stanford Health Care Current Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Feb 1, 2020 Accepting new patients
Sirish Nakka MD Inc CurrentSince Nov 8, 2023 Accepting new patients
Stanford Health Care CurrentSince Jul 15, 2013 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Feb 1, 2020 Accepting new patients
Jig International LLC Sleep Medicine CurrentSince Jun 1, 2019 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

150 Carnation Dr
Ste 4
Freedom, CA 95019
Phone (408) 724-0440

300 Pasteur Dr
Palo Alto, CA 94304
Phone (650) 723-6469

450 Broadway St
Redwood City, CA 94063
Phone (650) 723-5643

1665 Dominican Way
Ste 222
Santa Cruz, CA 95065
Phone (831) 465-0586

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

260 S Sunnyvale Ave
Ste 6
Sunnyvale, CA 94086
Phone (844) 387-5337

Dept 5777
Carol Stream, IL 60122

302 Randall Rd
Geneva, IL 60134
Phone (630) 208-6775

302 Randall Rd
Ste 309
Geneva, IL 60134
Phone (630) 232-0202

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050

4645 Avon Ln
Ste 340
Frisco, TX 75033
Phone (214) 308-1525

5899 Preston Rd
Ste 701
Frisco, TX 75034
Phone (214) 308-1525

4645 Avon Ln
Ste 375
Frisco, TX 75033
Phone (214) 308-1525

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

280 Adriatic Pkwy
McKinney, TX 75072
Phone (469) 697-5100

Interoperability endpoints

  • Direct secure messaging: vikas.jain.1@20062.direct.athenahealth.com
  • Direct secure messaging: vikas.jain.1@19958.direct.athenahealth.com
  • Direct secure messaging: drvjain@cmhs.securechart.com
  • Direct secure messaging: vjain@ch.cernerdirect.com

Organizations & group practices 12

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 3

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1992965156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 340",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331215",
            "telephone_number": "214-308-1525",
            "fax_number": "855-838-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 340",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331215",
            "telephone_number": "214-308-1525",
            "fax_number": "855-838-5251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943042203",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "VIKAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-11",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036140333",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A115489",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TX",
            "license": "R7027",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "R7027",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "IL",
            "license": "036140333",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A115489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036140333",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vikas.jain.1@19958.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5899 Preston Rd Ste 701",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750349592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vjain@ch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.