DR. VISHAL KUMAR JAIN MD
NPI 1710185467
Internal Medicine - Gastroenterology in New Brunswick, NJ

Active since July 04, 2007PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
254 EASTON AVE, CARES BLD, DEPARTMENT OF MEDICINE, NEW BRUNSWICK, NJ 08901(732) 745-8600 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Vishal Kumar Jain Md NPPES

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

DR. VISHAL KUMAR JAIN MD (NPI 1710185467) is an individual gastroenterology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA08273600) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and maintains a secondary practice location in Red Bank.

NPPES Registry Identity

NPI1710185467
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. VISHAL KUMAR JAINCredential: MD
Location Address254 EASTON AVE, CARES BLD, DEPARTMENT OF MEDICINENew Brunswick, NJ 08901-1766
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 4, 2007
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
NPI 1710185467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · 25MA08273600
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

254 EASTON AVE, New Brunswick, NJ 08901

Secondary Practice Location 1

Location 11 Riverview PlzRed Bank, NJ 07701-1864 · Phone (732) 741-2700 · Fax (732) 398-6405

Accepted 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. Vishal Kumar 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 ID2769568054
PECOS Enrollment IDI20080327000018
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 17

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.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
547 services371 patients
Follow-up hospital inpatient care per day, typically 25 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.
416 services291 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
237 services226 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
190 services145 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
119 services118 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
101 services101 patients

Hospital Affiliations CMS Care Compare 2

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

Surgery
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Radiology (Therapeutic Radiology)
254 EASTON AVE, ST PETERS UNIVERSITY HOSPITAL RADIATION ONCOLOGY DEPT
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Women's Health)
254 EASTON AVE, WACS 1H
NEW BRUNSWICK, NJ 08901
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Surgery
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Obstetrics & Gynecology
254 EASTON AVE, WOMEN'S AMBULATORY CLINIC
NEW BRUNSWICK, NJ 08901

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 Vishal Jain's NPI number?

The NPI number for Vishal Jain is 1710185467. It was assigned to this individual provider in the NPPES registry on July 4, 2007.

Where is Vishal Jain located?

Vishal Jain practices at 254 Easton Ave Cares Bld, Department Of Medicine, New Brunswick, NJ 08901. The listed phone number is (732) 745-8600.

What is Vishal Jain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vishal Jain enrolled in Medicare?

Yes. Vishal 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 Vishal Jain accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Vishal 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 Vishal Jain affiliated with any hospitals?

According to CMS data, Vishal Jain is affiliated with Ocean Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Vishal Jain was last updated on March 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.