DR. NIKHIL K JAIN M.D.
NPI 1548585276
Radiology - Vascular & Interventional Radiology in Old Bridge, NJ

Active since April 06, 2010PECOS EnrolledAccepts Medicare Assignment
72.17/100
CMS Quality Rating
3548 US HIGHWAY 9, OLD BRIDGE, NJ 08857(732) 970-0420(731) 318-3866 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2026, Sep 27, 2019, Apr 10, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Nikhil K Jain M.d. NPPES

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

DR. NIKHIL K JAIN M.D. (NPI 1548585276) is an individual vascular & interventional radiology provider in Old Bridge, New Jersey, licensed in New Jersey (25MA09933600) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548585276
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. NIKHIL K JAINCredential: M.D.
Location Address3548 US HIGHWAY 9Old Bridge, NJ 08857-2953
Mailing Address365 Montauk AveNew London, CT 06320-4700 · (860) 442-0711
Fax(731) 318-3866
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2010
Enumeration DateApril 6, 2010
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1548585276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in NJ · 25MA09933600✔ Licensed in RI · MD16306✔ Licensed in CT · 61333
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
3548 US HIGHWAY 9, Old Bridge, NJ 08857

Secondary Practice Locations 2

Location 1100 Madison AveMorristown, NJ 07960-6136 · Phone (973) 971-5370 · Fax (973) 290-7294
Location 2365 Montauk AveNew London, CT 06320-4700 · Phone (860) 442-0711

Accepted Insurance

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. Nikhil K 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 ID749577468
PECOS Enrollment IDI20160923001451
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

6

Medicare enrollment records show Nikhil Jain reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 22 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1771 MADISON AVE
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
Diagnostic Radiology
100 MADISON AVE
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 137 clinicians in this Medicare group
Radiology
197 RIDGEDALE AVE
Cedar Knolls, NJ 07927
  • Reassigned Medicare billing, New Jersey enrollment
  • 178 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 49

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,122 services896 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
458 services430 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
359 services348 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
236 services224 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
210 services205 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
161 services155 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

72.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.66
Improvement Activities40
Cost33.98

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%39 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%228 patients
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 9

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

Radiology (Diagnostic Radiology)
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857
Physician Assistant
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857
Radiology (Diagnostic Radiology)
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857
Radiology (Vascular & Interventional Radiology)
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857
Radiology (Diagnostic Radiology)
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857
Specialist
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857
Radiology (Diagnostic Radiology)
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857
Radiology (Diagnostic Radiology)
3548 US HIGHWAY 9
OLD BRIDGE, NJ 08857

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 Nikhil Jain's NPI number?

The NPI number for Nikhil Jain is 1548585276. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Nikhil Jain located?

Nikhil Jain practices at 3548 Us Highway 9, Old Bridge, NJ 08857. The listed phone number is (732) 970-0420.

What is Nikhil Jain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Nikhil Jain enrolled in Medicare?

Yes. Nikhil 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 Nikhil Jain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Jain reassigns Medicare benefits to 6 organizations: Edison Radiology Group PA Jfk Medical Center (Edison, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ), Lakewood Resource And Referral Center Inc (Lakewood, NJ), Ancillary Services Of Practice Associates PA (Morristown, NJ) and 1 more organization, listed in the Medicare section above. 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 Nikhil Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Jain accept?

Health plans from Oscar Health list Nikhil 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 Nikhil Jain affiliated with any hospitals?

According to CMS data, Nikhil Jain is affiliated with St Joseph's University Medical Center Inc, Robert Wood Johnson University Hospital, Raritan Bay Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Nikhil Jain was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.