MUDIT JAIN MD PA
NPI 1114166733
Internal Medicine - Endocrinology, Diabetes & Metabolism in Plantation, FL
About Mudit Jain Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MUDIT JAIN MD PA (NPI 1114166733) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Plantation, Florida and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Mudit Jain, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mudit Jain Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mudit Jain MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2107839
Mudit Jain MD PA · Plantation, FLFrequently 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 Mudit Jain MD PA's NPI number?
The NPI number for Mudit Jain MD PA is 1114166733. It was assigned to this organization in the NPPES registry on February 5, 2009.
Where is Mudit Jain MD PA located?
Mudit Jain MD PA is located at 300 NW 70th Ave Suite 105, Plantation, FL 33317. The listed phone number is (954) 585-6292.
What is Mudit Jain MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Mudit Jain MD PA enrolled in Medicare?
Yes. Mudit Jain MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mudit Jain MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mudit Jain MD PA, in Internal Medicine and Registered Dietitian or Nutrition Professional. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mudit Jain MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2107839) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mudit Jain MD PA accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Mudit Jain MD PA 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.
When was this NPI record last updated?
The NPPES record for Mudit Jain MD PA was last updated on July 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mudit Jain Md Pa · NPI 1114166733
Endocrinology, Diabetes & Metabolism organization in Plantation, Florida. Organization record, active in the CMS NPPES registry since February 5, 2009.
## Identity
- **NPI:** 1114166733 (Entity type: Organization)
- **Enumerated:** February 5, 2009
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Mudit Jain, MD
## Practice location
- **Address:** 300 NW 70TH AVE, SUITE 105, Plantation, FL 33317-2384
- **Phone:** (954) 585-6292 · **Fax:** (954) 585-6290
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Registered Dietitian or Nutrition Professional (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2009
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114166733) · Data from the CMS NPPES public registry.