PANKAJ JAIN M.D.
NPI 1215996301
Internal Medicine - Pulmonary Disease in Olympia Fields, IL

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
15.34/100
CMS Quality Rating
3800 W 203RD ST, SUITE 202, OLYMPIA FIELDS, IL 60461(708) 679-2660(708) 503-3861 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pankaj Jain M.d. NPPES

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

PANKAJ JAIN M.D. (NPI 1215996301) is an individual pulmonary disease provider in Olympia Fields, Illinois, licensed in Illinois (036121222) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1215996301
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NamePANKAJ JAINCredential: M.D.
Location Address3800 W 203RD ST, SUITE 202Olympia Fields, IL 60461-1184
Mailing Address1040 Sierra Dr, Suite 400Greenwood, IN 46143-7240 · (317) 528-4800 · Fax (317) 865-8319
Fax(708) 503-3861
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMarch 20, 2006
Last NPPES UpdateAugust 29, 2013
NPI 1215996301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in IL · 036121222 Licensed in KY · 39423
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3800 W 203RD ST, Olympia Fields, IL 60461

Other Identifiers 10

Other611308998KY · Tax Id Number
Other000000365405KY · Blue Cross Blue Shield
OtherP00723355IL · Rail Road Medicare
Medicare UPINI28266KY
Medicaid036121222IL
Medicare PIN0608112KY
OtherP00256659KY · Railroad Medicare
Other05-0540914IL · Tax Id
Medicaid64100852KY
Medicare PIN203979004IL

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

Pankaj Jain M.d. 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 ID1456391937
PECOS Enrollment IDI20090521000231
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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,954 services400 patients
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.
522 services246 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
509 services399 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
383 services231 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
364 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
200 services62 patients

Hospital Affiliations CMS Care Compare 5

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140048
Location2320 E 93rd StChicago, IL 60617 · Cook County
Emergency services Birthing friendly

Franciscan Health Olympia & Chicago Heights

Acute Care Hospitals · Olympia Fields, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140172
Location20201 S Crawford AvenueOlympia Fields, IL 60461 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60461 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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.

15.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost51.14

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers85 claims85 services$33.28 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
7 suppliers24 claims55 services$1.22 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
2 suppliers11 claims11 services$7.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers41 claims41 services$72.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers42 claims116 services$27.30 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers42 claims236 services$13.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Acute Care)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461
Internal Medicine (Infectious Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, SUITE 204
OLYMPIA FIELDS, IL 60461
Internal Medicine (Cardiovascular Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, STE 202
OLYMPIA FIELDS, IL 60461
Nurse Practitioner (Family)
3800 W 203RD ST
OLYMPIA FIELDS, IL 60461
Internal Medicine (Pulmonary Disease)
3800 W 203RD ST, SUITE 202
OLYMPIA FIELDS, IL 60461

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 Pankaj Jain's NPI number?

The NPI number for Pankaj Jain is 1215996301. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Pankaj Jain located?

Pankaj Jain practices at 3800 W 203rd St Suite 202, Olympia Fields, IL 60461. The listed phone number is (708) 679-2660.

What is Pankaj Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pankaj Jain enrolled in Medicare?

Yes. Pankaj 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.

Is Pankaj Jain affiliated with any hospitals?

According to CMS data, Pankaj Jain is affiliated with Advocate Trinity Hospital, Franciscan Health Olympia & Chicago Heights, Ingalls Memorial Hospital, Advocate Christ Hospital & Medical Center and Silver Cross Hospital And Medical Centers.

When was this NPI record last updated?

The NPPES record for Pankaj Jain was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.