DR. SIDDHARTH JAIN D.O.
NPI 1255055257
General Practice in Columbia, MO

Q: What is Siddharth Jain's NPI number?

The NPI number for Siddharth Jain is 1255055257. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Q: What is Siddharth Jain's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Siddharth Jain was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 03, 2022PECOS Enrolled

619 N PROVIDENCE RD, COLUMBIA, MO 65203(573) 234-1070(573) 818-1342 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Siddharth Jain D.o. NPPES

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

DR. SIDDHARTH JAIN D.O. (NPI 1255055257) is an individual general practice provider in Columbia, Missouri, licensed in Missouri (2021040393) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255055257

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. SIDDHARTH JAINCredential: D.O.

Location Address619 N PROVIDENCE RDColumbia, MO 65203-4355

Mailing Address619 N Providence RdColumbia, MO 65203-4355 · (573) 234-1070 · Fax (573) 818-1342

Phone(573) 234-1070

Fax(573) 818-1342

Sole ProprietorNo

Enumeration DateOctober 3, 2022

NPPES CertifiedOctober 3, 2022

✔ NPI 1255055257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MO · 2021040393

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

619 N PROVIDENCE RD, Columbia, MO 65203

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Siddharth Jain D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

DR. CLAYTON C CAMPBELL III MD

Family Medicine