NEHAL PATEL JAIN MD
NPI 1528414919
Internal Medicine in Houston, TX

Q: What is Nehal Jain's NPI number?

The NPI number for Nehal Jain is 1528414919. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Nehal Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nehal Jain was last updated on October 12, 2021. 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.

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

6720 BERTNER AVE, HOUSTON, TX 77030(713) 798-2222(713) 798-0111 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2021, May 26, 2021, Sep 4, 2019 (3 updates tracked since 2019).

On this page

About Nehal Patel Jain Md NPPES

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

NEHAL PATEL JAIN MD (NPI 1528414919) is an individual internal medicine provider in Houston, Texas, licensed in Texas (S0530) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1528414919

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNEHAL PATEL JAINCredential: MD

Location Address6720 BERTNER AVEHouston, TX 77030

Mailing Address1 Baylor Plaza, Mailstop 621, Baylor Medicine, Hospital Medicine Admin OfficeHouston, TX 77030-2348 · (713) 798-8180 · Fax (713) 798-0111

Phone(713) 798-2222

Fax(713) 798-0111

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 4, 2016

Last NPPES UpdateOctober 12, 20213 updates tracked since enumeration

NPPES CertifiedOctober 12, 2021

✔ NPI 1528414919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · S0530✔ Licensed in TX · BP10056250

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License S0530 (TX)

6720 BERTNER AVE, Houston, TX 77030

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Secondary Practice Location 1

Location 11 Baylor PlzHouston, TX 77030-3411 · Phone (713) 798-5588

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nehal Patel 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 ID5597093872

PECOS Enrollment IDI20190823002849

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

62 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services20 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

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. ARCHANA VARGHEESE RAGHAVAN M.D.

Anesthesiology