GAURAV JAIN MD
NPI 1851307680
Internal Medicine - Gastroenterology in Newark, DE

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
537 STANTON CHRISTIANA RD, SUITE 203, NEWARK, DE 19713(302) 225-2380(302) 225-2388 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gaurav Jain Md NPPES

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

GAURAV JAIN MD (NPI 1851307680) is an individual gastroenterology provider in Newark, Delaware, licensed in Delaware (C10006985) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1997).

NPPES Registry Identity

NPI1851307680
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGAURAV JAINCredential: MD
Location Address537 STANTON CHRISTIANA RD, SUITE 203Newark, DE 19713
Mailing Address537 Stanton Christiana Rd, Suite 203Newark, DE 19713 · (302) 225-2380 · Fax (302) 225-2388
Fax(302) 225-2388
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1997
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 17, 2011
NPI 1851307680 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 DE · C10006985
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.
537 STANTON CHRISTIANA RD, Newark, DE 19713

Other Identifiers 5

Medicaid1000033352DE
Medicare UPINH97372
Other7510505Aetna
Medicare PIN012780M93DE
OtherH97372DE · Bcbs

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

Gaurav 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 ID6901706027
PECOS Enrollment IDI20040116001046
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 14

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
4,200 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
124 services110 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
104 services104 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
97 services97 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 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.
70 services69 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.
69 services69 patients

Hospital Affiliations CMS Care Compare

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

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Dermatology
537 STANTON CHRISTIANA RD, SUITE # 207
NEWARK, DE 19713
Physician Assistant
537 STANTON CHRISTIANA RD
NEWARK, DE 19713
Nurse Practitioner (Family)
537 STANTON CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Physician Assistant (Medical)
537 STANTON CHRISTIANA RD, SUITES 107,111,207 & 209
NEWARK, DE 19713
Dentist (General Practice)
537 STANTON CHRISTIANA RD, SUITE 211
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
NEWARK, DE 19713
Internal Medicine (Rheumatology)
537 STANTON CHRISTIANA RD, SUITE 212
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
NEWARK, DE 19713

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 Gaurav Jain's NPI number?

The NPI number for Gaurav Jain is 1851307680. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Gaurav Jain located?

Gaurav Jain practices at 537 Stanton Christiana Rd Suite 203, Newark, DE 19713. The listed phone number is (302) 225-2380.

What is Gaurav Jain's specialty?

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

Is Gaurav Jain enrolled in Medicare?

Yes. Gaurav 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 Gaurav Jain accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Gaurav 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 Gaurav Jain affiliated with any hospitals?

According to CMS data, Gaurav Jain is affiliated with Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Gaurav Jain was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.