SHEETAL JAIN MD
NPI 1083109722
Internal Medicine in Red Hook, NY
About Sheetal Jain Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEETAL JAIN MD (NPI 1083109722) is an individual internal medicine provider in Red Hook, New York, licensed in New York (312990) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sheetal 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sheetal Jain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kingston, NY 12401
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Nuvance Health Medical Practice PC
- 638 clinicians in this Medicare group
Pittsfield, MA 01201
- Reassigned Medicare billing, Massachusetts enrollment
- 394 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vassar Brothers Medical Center
Acute Care Hospitals · Poughkeepsie, NYNorthern Dutchess Hospital
Acute Care Hospitals · Rhinebeck, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12571 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RED HOOK, NY 12571
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 Sheetal Jain's NPI number?
The NPI number for Sheetal Jain is 1083109722. It was assigned to this individual provider in the NPPES registry on June 26, 2018.
Where is Sheetal Jain located?
Sheetal Jain practices at 17 Glen Pond Dr, Red Hook, NY 12571. The listed phone number is (845) 758-9118.
What is Sheetal Jain's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sheetal Jain enrolled in Medicare?
Yes. Sheetal 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.
Which organizations bill Medicare for Sheetal Jain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheetal Jain reassigns Medicare benefits to 2 organizations: Health Quest Medical Practice, PC (Kingston, NY) and Berkshire Medical Center, Inc (Pittsfield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheetal Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sheetal Jain accept?
Health plans from Taro Health list Sheetal 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 Sheetal Jain affiliated with any hospitals?
According to CMS data, Sheetal Jain is affiliated with Vassar Brothers Medical Center and Northern Dutchess Hospital.
When was this NPI record last updated?
The NPPES record for Sheetal Jain was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Sheetal Jain, MD · NPI 1083109722
Internal Medicine physician in Red Hook, New York. Individual provider, active in the CMS NPPES registry since June 26, 2018.
## Identity
- **NPI:** 1083109722 (Entity type: Individual)
- **Enumerated:** June 26, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 312990 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 17 GLEN POND DR, Red Hook, NY 12571-1840
- **Phone:** (845) 758-9118
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Health Quest Medical Practice, PC (NPI 1558906610, Kingston, NY); Berkshire Medical Center, Inc (NPI 1295765261, Pittsfield, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** February 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083109722) · Data from the CMS NPPES public registry.