JYOTIBALA JAIN MD
NPI 1609252808
Student in an Organized Health Care Education/Training Program in Caribou, ME
About Jyotibala Jain Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JYOTIBALA JAIN MD (NPI 1609252808) is an individual student in an organized health care education/training program in Caribou, Maine, licensed in Texas (590833) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jyotibala Jain Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jyotibala Jain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Caribou, ME 04736
- Reassigned Medicare billing, Maine enrollment
- 91 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.
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.
CARIBOU, ME 04736
CARIBOU, ME 04736
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 Jyotibala Jain's NPI number?
The NPI number for Jyotibala Jain is 1609252808. It was assigned to this individual provider in the NPPES registry on August 11, 2015.
Where is Jyotibala Jain located?
Jyotibala Jain practices at 163 Van Buren Rd, Caribou, ME 04736. The listed phone number is (214) 648-3538.
What is Jyotibala Jain's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jyotibala Jain enrolled in Medicare?
Yes. Jyotibala Jain is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jyotibala Jain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jyotibala Jain reassigns Medicare benefits to Pines Health Services (Caribou, ME). The 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 Jyotibala Jain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jyotibala Jain accept?
Health plans from Anthem Blue Cross and Blue Shield list Jyotibala 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.
When was this NPI record last updated?
The NPPES record for Jyotibala Jain was last updated on June 9, 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.
# Jyotibala Jain, MD · NPI 1609252808
Student in an Organized Health Care Education/Training Program provider in Caribou, Maine. Individual provider, active in the CMS NPPES registry since August 11, 2015.
## Identity
- **NPI:** 1609252808 (Entity type: Individual)
- **Enumerated:** August 11, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 590833 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 163 VAN BUREN RD, Caribou, ME 04736-3567
- **Phone:** (214) 648-3538
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pines Health Services (NPI 1528383262, Caribou, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609252808) · Data from the CMS NPPES public registry.