DR. PARKER JAIN (DO) – Anesthesiology Physician, NPI 1902882764

DR. PARKER JAIN (DO) is a healthcare provider. based in Bloomington, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 036098712 (IL). The NPI Number for DR. PARKER JAIN (DO) is 1902882764

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. PARKER JAIN (DO)
NPI
1902882764
Phone
(309) 663-4700
Address
1505 EASTLAND DR
Enumeration Date
22 December 2005
Last Update Date
8 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096630222
Graduation Year
1991 (35 years ago)
PAC ID
5294639100
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20050322000248
Address ID
IL617043567BL2204XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,633 ANESTHESIOLOGY in IL

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Provider Addresses for DR. PARKER JAIN (DO)

  • 1505, Eastland Drive, Bloomington, McLean County, Illinois, 61704, United States

    LL 1400

    BLOOMINGTON, IL 617013534

    Phone: (309) 663-4700

    Fax: (309) 665-0575

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($70).

Total Amount

$123

General + Research + Ownership

Payments

7

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

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: 2005-03-22

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
I20050322000248IAnesthesiologyILTBD

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
00142Anesthesia for lens surgery804632$0
00140Anesthesia for other procedure on eye3228$0
00145Anesthesia for retinal surgery1514$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
00103Anesthesia for procedure on eyelid1313$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

Is DR. PARKER JAIN (DO) listed with a National Provider Identifier?
Yes — DR. PARKER JAIN (DO) has NPI 1902882764 on file in the registry.
Is there an active status for DR. PARKER JAIN (DO)?
For scheduling context, DR. PARKER JAIN (DO) is shown as active in the registry.
How would a patient describe DR. PARKER JAIN (DO)'s focus?
For DR. PARKER JAIN (DO), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. PARKER JAIN (DO) associated with Bloomington?
Public fields place DR. PARKER JAIN (DO) around Bloomington, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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