DR. SUDHIR K JAIN MD
NPI 1487698809
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300, SAINT LOUIS, MO 63129(314) 362-1291(314) 286-1949 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 3 more (6 updates tracked since 2015).

About Dr. Sudhir K Jain Md NPPES

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

DR. SUDHIR K JAIN MD (NPI 1487698809) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (101411) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1487698809
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUDHIR K JAINCredential: MD
Location Address5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300Saint Louis, MO 63129-0002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-1291 · Fax (314) 286-1949
Fax(314) 286-1949
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPI 1487698809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MO · 101411
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5201 MID AMERICA PLZ, Saint Louis, MO 63129

Other Identifiers 1

Medicaid205943111MO

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

Dr. Sudhir K 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 ID3173585262
PECOS Enrollment IDI20041101000698
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 28

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.
1,705 services951 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
918 services231 patients
Injection, octafluoropropane microspheres, per ml Q9956
Octafluoropropane microspheres injection is a procedure where tiny gas-filled bubbles are injected into your bloodstream. These bubbles help improve the quality of ultrasound images by enhancing the contrast, aiding in the detection and diagnosis of certain conditions.
834 services254 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
557 services454 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
511 services464 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
509 services458 patients

Hospital Affiliations CMS Care Compare 5

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63129 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Internal Medicine (Gastroenterology)
5201 MID AMERICA PLZ, DIV IM GASTROENTEROLOGY, STE 2300
SAINT LOUIS, MO 63129
Anesthesiology
5201 MID AMERICA PLZ, DEPT ANESTHESIOLOGY, STE 1300
SAINT LOUIS, MO 63129
Physician Assistant
5201 MID AMERICA PLZ, DEPT ORTHOPAEDIC SURG, STE 1500
SAINT LOUIS, MO 63129
Internal Medicine (Allergy & Immunology)
5201 MID AMERICA PLZ, DIV IM ALLERGY AND IMMUNOLOGY, STE 2300
SAINT LOUIS, MO 63129
Nurse Practitioner (Gerontology)
5201 MID AMERICA PLZ, DIV IM RHEUMATOLOGY, STE 2300
SAINT LOUIS, MO 63129
Optometrist
5201 MID AMERICA PLZ, DIV OPTHALMOLOGY, STE 2500
SAINT LOUIS, MO 63129
Internal Medicine (Rheumatology)
5201 MID AMERICA PLZ
SAINT LOUIS, MO 63129
Internal Medicine (Cardiovascular Disease)
5201 MID AMERICA PLZ, DIV IM CARDIOLOGY, STE 2300
SAINT LOUIS, MO 63129

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 Sudhir Jain's NPI number?

The NPI number for Sudhir Jain is 1487698809. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Sudhir Jain located?

Sudhir Jain practices at 5201 Mid America Plz Div Im Cardiology, Ste 2300, Saint Louis, MO 63129. The listed phone number is (314) 362-1291.

What is Sudhir Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sudhir Jain enrolled in Medicare?

Yes. Sudhir 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 Sudhir Jain accept?

Health plans from Cox HealthPlans list Sudhir 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 Sudhir Jain affiliated with any hospitals?

According to CMS data, Sudhir Jain is affiliated with St Josephs Hospital, Memorial Hospital, Barnes Jewish Hospital, Barnes-Jewish West County Hospital and Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Sudhir Jain was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.