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HEENA ADITYA BIRBAL JAIN MD
NPI 1255694675
Internal Medicine - Rheumatology in Champaign, IL

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
1701 CURTIS RD., RHEUMATOLOGY, CHAMPAIGN, IL 61822(217) 365-2851(217) 365-2852 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Nov 9, 2017 (2 updates tracked since 2017).

About Heena Aditya Birbal Jain Md NPPES

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

HEENA ADITYA BIRBAL JAIN MD (NPI 1255694675) is an individual rheumatology provider in Champaign, Illinois, licensed in Illinois (036136836) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255694675
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameHEENA ADITYA BIRBAL JAINCredential: MD
Location Address1701 CURTIS RD., RHEUMATOLOGYChampaign, IL 61822-9678
Mailing Address101 W University AveChampaign, IL 61820-3981 · (309) 665-0329 · Fax (309) 661-3317
Phone(217) 365-2851
Fax(217) 365-2852
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 20, 2012
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1255694675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036136836
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1701 CURTIS RD., Champaign, IL 61822
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1St Francis Medical Ctr, 530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 624-9351
Location 22502 E Empire StBloomington, IL 61704-3738 · Phone (217) 309-6650 · Fax (309) 661-3317

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

Heena Aditya Birbal 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 ID8820391444
PECOS Enrollment IDI20170816001760
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Heena Birbal Jain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christie Clinic, PLLC
3.8 mi
Internal Medicine
101 W UNIVERSITY AVE
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 289 clinicians in this Medicare group
NPI 1871523829 (217) 366-1200
Carle Health Medical Group
4.6 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Richland Memorial Hospital, Inc.
92 mi
Rural Health
1200 N EAST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 301 clinicians in this Medicare group
NPI 1053792689 (618) 392-2940

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 6

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.
438 services194 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.
148 services83 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.
57 services57 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
27 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services22 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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 Heena Birbal Jain's NPI number?

The NPI number for Heena Birbal Jain is 1255694675. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Heena Birbal Jain located?

Heena Birbal Jain practices at 1701 Curtis Rd. Rheumatology, Champaign, IL 61822. The listed phone number is (217) 365-2851.

What is Heena Birbal Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Heena Birbal Jain enrolled in Medicare?

Yes. Heena Birbal 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 Heena Birbal Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heena Birbal Jain reassigns Medicare benefits to 3 organizations: Christie Clinic, PLLC (Champaign, IL), Carle Health Medical Group (Urbana, IL) and Richland Memorial Hospital, Inc. (Olney, IL). 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 Heena Birbal Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Heena Birbal Jain affiliated with any hospitals?

According to CMS data, Heena Birbal Jain is affiliated with Carle Foundation Hospital and Saint James Hospital.

When was this NPI record last updated?

The NPPES record for Heena Birbal Jain was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.