SUMIT JAIN MD
NPI 1437507316
Anesthesiology - Pain Medicine in Chicago, IL

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment
97.71/100
CMS Quality Rating
251 E HURON ST, CHICAGO, IL 60611(312) 695-5395 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2020, Nov 17, 2019 (2 updates tracked since 2019).

About Sumit Jain Md NPPES

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

SUMIT JAIN MD (NPI 1437507316) is an individual pain medicine provider in Chicago, Illinois, licensed in Illinois (036149659) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Rush Medical College Of Rush University (2016).

NPPES Registry Identity

NPI1437507316
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameSUMIT JAINCredential: MD
Location Address251 E HURON STChicago, IL 60611-2908
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2016
Enumeration DateJune 1, 2016
Last NPPES UpdateJune 19, 20202 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
NPI 1437507316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in IL · 036149659
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 036149659 (IL)
251 E HURON ST, Chicago, IL 60611

Accepted Insurance

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

Sumit 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 ID7810288453
PECOS Enrollment IDI20211022000266
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 22

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.
442 services132 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
382 services114 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
381 services41 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
303 services105 patients
Test or measurement for functional capacity, each 15 minutes 97750
This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.
256 services74 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.
156 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

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.

97.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
251 E HURON ST, FEINBERG PAVILION
CHICAGO, IL 60611
Psychiatry & Neurology (Psychiatry)
251 E HURON ST, GALTER 3-150, C
CHICAGO, IL 60611
Anesthesiology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Emergency Medicine
251 E HURON ST
CHICAGO, IL 60611
Dermatology
251 E HURON ST
CHICAGO, IL 60611
Internal Medicine
251 E HURON ST
CHICAGO, IL 60611
Obstetrics & Gynecology
251 E HURON ST
CHICAGO, IL 60611

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 Sumit Jain's NPI number?

The NPI number for Sumit Jain is 1437507316. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Sumit Jain located?

Sumit Jain practices at 251 E Huron St, Chicago, IL 60611. The listed phone number is (312) 695-5395.

What is Sumit Jain's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Sumit Jain enrolled in Medicare?

Yes. Sumit 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.

What insurance does Sumit Jain accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and CareSource list Sumit Jain 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.

Is Sumit Jain affiliated with any hospitals?

According to CMS data, Sumit Jain is affiliated with Advocate Sherman Hospital, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Sumit Jain was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.