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JYOTIBALA JAIN MD
NPI 1609252808
Student in an Organized Health Care Education/Training Program in Caribou, ME

Active since August 11, 2015PECOS Enrolled
163 VAN BUREN RD, CARIBOU, ME 04736(214) 648-3538 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1609252808
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJYOTIBALA JAINCredential: MD
Location Address163 VAN BUREN RDCaribou, ME 04736-3567
Mailing Address1935 Medical District DrDallas, TX 75235-7701
Phone(214) 648-3538
Sole ProprietorNo
Enumeration DateAugust 11, 2015
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 9, 2022
✔ NPI 1609252808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in TX · 590833
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License MD25067 (ME)
163 VAN BUREN RD, Caribou, ME 04736
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jyotibala Jain Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MICHELLE LUGDON M.S., CCC-SLP
Speech-Language Pathologist
163 VAN BUREN RD
CARIBOU, ME 04736
Aroostook County (207) 498-1169
MS. LAUNA M GONSIOROSKI ANP
Nurse Practitioner (Adult Health)
163 VAN BUREN RD, - VA CLINIC
CARIBOU, ME 04736
Aroostook County (207) 498-3800
DR. ROBERT LEWIS SHAW MD
Family Medicine
163 VAN BUREN RD, SUITE #6
CARIBOU, ME 04736
Aroostook County (207) 498-8785
KIMBERLY MARTIN CNM
Midwife
163 VAN BUREN RD
CARIBOU, ME 04736
Aroostook County (207) 498-6921
LARA KATHRYN COLLICOTT SPEECH PATHOLOGIST
Speech-Language Pathologist
163 VAN BUREN RD
CARIBOU, ME 04736
Aroostook County (207) 498-3111
IAN BLAKE SOTOMAYOR MS, OTR/L
Occupational Therapist
163 VAN BUREN RD
CARIBOU, ME 04736
Aroostook County (207) 498-1618
DR. AYODELE T ISAACS MD
Family Medicine
163 VAN BUREN RD
CARIBOU, ME 04736
Aroostook County (207) 498-3111
WILLIAM B BRANDENBERGER MD
Pediatrics
163 VAN BUREN RD
CARIBOU, ME 04736
Aroostook County (207) 492-3451

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.

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 with the weekly NPPES data releases published by CMS.