AMRISH JAIN (M.D.) – Pediatric Nephrology Physician, NPI 1922202308

AMRISH JAIN (M.D.) is a healthcare provider. based in Detroit, Michigan. specializing in NEPHROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301085106 (MI). The NPI Number for AMRISH JAIN (M.D.) is 1922202308

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
AMRISH JAIN (M.D.)
NPI
1922202308
Phone
(313) 745-4405
Address
4201 ST. ANTOINE - UHC 5D MAILBOX 226
Enumeration Date
12 June 2007
Last Update Date
20 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137455870
Graduation Year
2004 (22 years ago)
PAC ID
2567503568
Group Practice PAC ID
9638070568
Professional Enrollment ID
I20100113000585
Address ID
MI482012119DE3901XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

434 NEPHROLOGY in MI

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Provider Addresses for AMRISH JAIN (M.D.)

  • 4201 ST. ANTOINE - UHC 5D MAILBOX 226

    UNIVERSITY PEDIATRICIANS

    DETROIT, MI 482012153

    Phone: (313) 745-4405

    Fax: (313) 966-0665

    Type: Mailing

  • Children's Hospital of Michigan, 3901, Beaubien Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    PEDIATRIC NEPHROLOGY,CHILDREN'S HOSPITAL OF MICHIGAN

    DETROIT, MI 482012119

    Phone: (313) 745-5604

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-13

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
I20100113000585INephrologyMITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes11113$0
View full utilization report →

Insurance plans in this area (ZIP 48201)

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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: 9638070568View full group profile
NameSpecialtyState
Pediatric MedicineMI
Pediatric MedicineMI
Pediatric MedicineOH
Pediatric MedicineMI
Pediatric MedicineMI
Nurse PractitionerMI
-MI
Nephrology, Pediatric MedicineMI
-MI
Pediatric MedicineTN

Reviews

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Frequently asked questions

How is AMRISH JAIN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists AMRISH JAIN (M.D.) with NPI 1922202308.
Is AMRISH JAIN (M.D.) still practicing?
AMRISH JAIN (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does AMRISH JAIN (M.D.) hold?
Scheduling teams often label AMRISH JAIN (M.D.) under Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for AMRISH JAIN (M.D.)?
AMRISH JAIN (M.D.)'s geographic hint is Detroit, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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