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DR. SIDHARTH JAIN M.D.
NPI 1609290899
Internal Medicine in Charleston, WV

Active since February 10, 2014PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3200 MACCORKLE AVE SE STE B-16, CHARLESTON, WV 25304(304) 388-5848(304) 388-9654 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2023, Oct 12, 2022, May 17, 2022 and 4 more (7 updates tracked since 2018).

About Dr. Sidharth Jain M.d. NPPES

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

DR. SIDHARTH JAIN M.D. (NPI 1609290899) is an individual internal medicine provider in Charleston, West Virginia, licensed in West Virginia (32595) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1609290899
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SIDHARTH JAINCredential: M.D.
Location Address3200 MACCORKLE AVE SE STE B-16Charleston, WV 25304-1297
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 324-6400
Phone(304) 388-5848
Fax(304) 388-9654
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 10, 2014
Last NPPES UpdateSeptember 28, 20237 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1609290899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 32595
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.
3200 MACCORKLE AVE SE STE B-16, Charleston, WV 25304
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1700 E Marshall AveLongview, TX 75601 · Phone (903) 315-1488
Location 2323 E Hawkins PkwyLongview, TX 75605-8153 · Phone (903) 544-6700
Location 31612 S Henderson BlvdKilgore, TX 75662-3518 · Phone (903) 983-2492
Location 4811 S Washington AveMarshall, TX 75670-5336 · Phone (903) 315-1488 · Fax (903) 315-1656
Location 58389 S Broadway AveTyler, TX 75703-5408 · Phone (903) 606-4129
Location 61631 11th Street, Unit BWichita Falls, TX 76301-7630 · Phone (940) 263-3000 · Fax (940) 263-3018
Location 73421 W 9th StWaterloo, IA 50702-5401 · Phone (319) 272-8349 · Fax (319) 272-8355
Location 8800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-4888

Other Identifiers 1

Other8KU309TX · Bcbs

Accepted Insurance

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

Dr. Sidharth 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 ID1456576339
PECOS Enrollment IDI20231114002847
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 5

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.
314 services129 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.
180 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
121 services120 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
66 services66 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services20 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

KATIE PREECE
Physician Assistant (Medical)
3200 MACCORKLE AVE SE STE B-16
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
ERIC FREDELL M.D.
Family Medicine
3200 MACCORKLE AVE SE STE B-16
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. SUMIT SAURAV KARNA MD
Hospitalist
3200 MACCORKLE AVE SE STE B-16
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
FENILKUMAR SHAMBHUBHAI KOTADIYA MD
Hospitalist
3200 MACCORKLE AVE SE STE B-16
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
HARISH PULLURU MD
Hospitalist
3200 MACCORKLE AVE SE STE B-16
CHARLESTON, WV 25304
Kanawha County (304) 388-5848

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 Sidharth Jain's NPI number?

The NPI number for Sidharth Jain is 1609290899. It was assigned to this individual provider in the NPPES registry on February 10, 2014.

Where is Sidharth Jain located?

Sidharth Jain practices at 3200 Maccorkle Ave SE Ste B-16, Charleston, WV 25304. The listed phone number is (304) 388-5848.

What is Sidharth Jain's specialty?

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

Is Sidharth Jain enrolled in Medicare?

Yes. Sidharth 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 Sidharth Jain accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource list Sidharth 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 Sidharth Jain affiliated with any hospitals?

According to CMS data, Sidharth Jain is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Sidharth Jain was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.