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PRARTHANA PRADEEP JAIN DO
NPI 1497314538
Internal Medicine - Rheumatology in Chapel Hill, NC

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment
101 MANNING DR, CHAPEL HILL, NC 27514(984) 974-1000 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Jun 12, 2019 (2 updates tracked since 2019).

About Prarthana Pradeep Jain Do NPPES

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

PRARTHANA PRADEEP JAIN DO (NPI 1497314538) is an individual rheumatology provider in Chapel Hill, North Carolina, licensed in South Carolina (LL82277) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497314538
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NamePRARTHANA PRADEEP JAINCredential: DO
Location Address101 MANNING DRChapel Hill, NC 27514-4220
Mailing Address101 Manning DrChapel Hill, NC 27514-4220 · (984) 974-1000
Phone(984) 974-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateMay 10, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1497314538 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 SC · LL82277
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.
101 MANNING DR, Chapel Hill, NC 27514
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Prarthana Pradeep Jain Do 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 ID9032440193
PECOS Enrollment IDI20240918004891
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 2

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.
57 services53 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

DR. TERESA MARY ANDERSON PHARM.D.
Pharmacist (Pharmacotherapy)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Orange County (919) 966-2457
DR. KAMAKSHI V RAO PHARMD, BCOP
Pharmacist (Oncology)
101 MANNING DR, CB#7600, UNC HOSPITAL
CHAPEL HILL, NC 27514
Orange County (919) 966-1434
MS. MELODY ANN WATRAL MSN, RN, CPNP
Nurse Practitioner
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (919) 966-8809
MORGAN TREPTE PHARM.D.
Pharmacist (Oncology)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Orange County (984) 974-8346
TREVOR STEPHEN BARLOWE
Student in an Organized Health Care Education/Training Program
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-1000
KRISTIN M HEAD RN
Registered Nurse
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-5421
KALYNN ANNE NORTHAM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-3765
KEVIN IVAN MORALES DEL MORAL
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-1000

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 Prarthana Jain's NPI number?

The NPI number for Prarthana Jain is 1497314538. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Prarthana Jain located?

Prarthana Jain practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (984) 974-1000.

What is Prarthana Jain's specialty?

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

Is Prarthana Jain enrolled in Medicare?

Yes. Prarthana 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 Prarthana Jain accept?

Health plans from Blue Cross and Blue Shield of NC list Prarthana 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 Prarthana Jain affiliated with any hospitals?

According to CMS data, Prarthana Jain is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Prarthana Jain was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.