Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MANISH JAIN M.D.
NPI 1417075581
Internal Medicine - Rheumatology in Chicago, IL

Active since March 27, 2007PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1945 W WILSON AVE STE 100, CHICAGO, IL 60640(773) 769-9040 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, May 30, 2023, Apr 5, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Manish Jain M.d. NPPES

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

DR. MANISH JAIN M.D. (NPI 1417075581) is an individual rheumatology provider in Chicago, Illinois, licensed in Illinois (036130313) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1417075581
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MANISH JAINCredential: M.D.
Location Address1945 W WILSON AVE STE 100Chicago, IL 60640-7927
Mailing Address800 Austin St, Suite 208Evanston, IL 60202-3439 · (847) 866-8988 · Fax (847) 866-8990
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2011
Enumeration DateMarch 27, 2007
Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1417075581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036130313
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301088345 (MI), 253170-1 (NY)
1945 W WILSON AVE STE 100, Chicago, IL 60640

Secondary Practice Locations 4

Location 1800 Austin St, Suite 208Evanston, IL 60202-3439 · Phone (847) 866-8988 · Fax (847) 866-8990
Location 22845 N Sheridan Rd, Suite 6400Chicago, IL 60657 · Phone (773) 665-8400
Location 34420 E Davison StHamtramck, MI 48212-1744 · Phone (313) 369-1500 · Fax (248) 336-9137
Location 43000 N Cicero AveChicago, IL 60641-5106 · Phone (248) 336-4000 · Fax (248) 336-9137

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

Dr. Manish 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 ID4183890056
PECOS Enrollment IDI20121001000144
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

2

Medicare enrollment records show Manish Jain reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rheumatology
1945 W WILSON AVE STE 100
Chicago, IL 60640
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
Rheumatology
80 WEST HILLCREST BLVD, SUITE 208
Schaumburg, IL 60195
  • Reassigned Medicare billing, Illinois enrollment
  • 10 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 11

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
30,000 services12 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
9,550 services17 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,520 services26 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.
613 services242 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
182 services25 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
175 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Presence Saint Joseph Hospital - Chicago

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140224
Location2900 North Lake Shore DriveChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150001
Location1125 W Jefferson StFranklin, IN 46131 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
70%1,029 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%604 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%604 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%604 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
1945 W WILSON AVE STE 100
CHICAGO, IL 60640
Internal Medicine (Rheumatology)
1945 W WILSON AVE STE 100
CHICAGO, IL 60640
Physical Therapist
1945 W WILSON AVE STE 100
CHICAGO, IL 60640
Internal Medicine (Rheumatology)
1945 W WILSON AVE STE 100
CHICAGO, IL 60640
Occupational Therapist
1945 W WILSON AVE STE 100
CHICAGO, IL 60640
Physician Assistant
1945 W WILSON AVE STE 100
CHICAGO, IL 60640

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 Manish Jain's NPI number?

The NPI number for Manish Jain is 1417075581. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Manish Jain located?

Manish Jain practices at 1945 W Wilson Ave Ste 100, Chicago, IL 60640. The listed phone number is (773) 769-9040.

What is Manish Jain's specialty?

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

Is Manish Jain enrolled in Medicare?

Yes. Manish 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 Manish Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manish Jain reassigns Medicare benefits to 2 organizations: Northside Rheumatology PLLC (Chicago, IL) and Greater Chicago Specialty Physicians LLC (Schaumburg, 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 Manish Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Manish Jain affiliated with any hospitals?

According to CMS data, Manish Jain is affiliated with Northshore University Healthsystem - Evanston Hospital, Presence Saint Francis Hospital, Swedish Hospital, Presence Saint Joseph Hospital - Chicago and Johnson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Manish Jain was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.