SUPRIYA JAIN (M.D.) – Radiation Oncology Physician, NPI 1639597529

SUPRIYA JAIN (M.D.) is a healthcare provider. based in Oak lawn, Illinois. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 036-150328 (IL). The NPI Number for SUPRIYA JAIN (M.D.) is 1639597529

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
SUPRIYA JAIN (M.D.)
NPI
1639597529
Phone
(708) 684-5475
Address
4440 W 95TH ST
Enumeration Date
29 March 2014
Last Update Date
8 July 2022

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
9708104593
Graduation Year
2014 (12 years ago)
PAC ID
9830314889
Group Practice PAC ID
6800031386
Professional Enrollment ID
I20220106001838
Address ID
CO806315154GR1801XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

312 RADIATION ONCOLOGY in IL

Provider Addresses for SUPRIYA JAIN (M.D.)

  • 4440 W 95TH ST

    OAK LAWN, IL 604532600

    Phone: (708) 684-5475

    Type: Mailing

  • 2000 BOISE AVE

    LOVELAND, CO 805385006

    Phone:

    Type: Mailing

  • 4700 LADY MOON DR

    FORT COLLINS, CO 805284426

    Phone: (970) 810-3894

    Type: Location

  • 1801 16th St

    Greeley, CO 806315154

    Phone: (970) 810-3894

    Type: Location

  • 2000 Boise Ave

    Loveland, CO 805385006

    Phone: (970) 810-3894

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $388.

Total Amount is formed as General ($388) + Research ($0) + Ownership ($0) = $388.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Elekta, Inc. ($216).

Total Amount

$388

General + Research + Ownership

Payments

2

Total payment records

General Amount

$388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220106001838IRadiation OncologyCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields38860$0
77300Calculation of radiation therapy dose15342$0
77334Design and construction of complex radiation treatment device14950$0
77427Radiation treatment management, 5 treatment sessions9843$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy6715$0
View full utilization report →

Insurance plans in this area (ZIP 60453)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800031386View full group profile

Reviews

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Frequently asked questions

Can I verify SUPRIYA JAIN (M.D.) with an NPI only?
You can start verification with NPI 1639597529 for SUPRIYA JAIN (M.D.), then check state licensing separately.
Does CMS list SUPRIYA JAIN (M.D.) as active?
Yes — SUPRIYA JAIN (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes SUPRIYA JAIN (M.D.)?
For research purposes, treat SUPRIYA JAIN (M.D.) as Radiation Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SUPRIYA JAIN (M.D.) list a practice location?
Patients near Oak Lawn, Illinois may find SUPRIYA JAIN (M.D.) in results; validate coverage separately.
Is the information about SUPRIYA JAIN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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