1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Otolaryngology
  6. NPI Profile

DR. KUNAL SUDHIR JAIN MD
NPI 1033344387
Otolaryngology in Houston, TX

Active since May 15, 2009PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6400 FANNIN ST STE 2700, HOUSTON, TX 77030(713) 486-5000 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kunal Sudhir Jain Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KUNAL SUDHIR JAIN MD (NPI 1033344387) is an individual otolaryngology provider in Houston, Texas, licensed in Texas (Q5440) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033344387
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KUNAL SUDHIR JAINCredential: MD
Location Address6400 FANNIN ST STE 2700Houston, TX 77030-1539
Mailing Address6431 Fannin Street, Msb 5.036Houston, TX 77030 · (713) 500-6636
Phone(713) 486-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 15, 2009
Last NPPES UpdateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
✔ NPI 1033344387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · Q5440
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
6400 FANNIN ST STE 2700, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kunal Sudhir Jain Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799900163
PECOS Enrollment IDI20150925001144
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services18 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
18 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HANNAH PEARL SMOCK AGACNP
Nurse Practitioner (Acute Care)
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
STEPHANIE SHARLEEN RIOS AU.D.
Audiologist
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5038
HANNAH DELLACROCE MD
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
DANIELLE OLIVIA CLAY
Audiologist
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
ALEXANDER PAUL SIMKO MD
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
ANDREA ZHANG
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000
UGUR NUR BASMACI
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (916) 878-8795
JONATHAN CHUNG-EN PANG
Student in an Organized Health Care Education/Training Program
6400 FANNIN ST STE 2700
HOUSTON, TX 77030
Harris County (713) 486-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kunal Jain's NPI number?

The NPI number for Kunal Jain is 1033344387. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Where is Kunal Jain located?

Kunal Jain practices at 6400 Fannin St Ste 2700, Houston, TX 77030. The listed phone number is (713) 486-5000.

What is Kunal Jain's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kunal Jain enrolled in Medicare?

Yes. Kunal Jain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kunal Jain accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Kunal Jain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kunal Jain affiliated with any hospitals?

According to CMS data, Kunal Jain is affiliated with Memorial Hermann - Texas Medical Center, Memorial Hermann Hospital System and Harris Health System.

When was this NPI record last updated?

The NPPES record for Kunal Jain was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.