SHAILESH JAIN (MD, MOH) – Child & Adolescent Psychiatry Physician, NPI 1215922802

SHAILESH JAIN (MD, MOH) is a healthcare provider. based in Odessa, Texas. specializing in PSYCHIATRY. They hold the professional credentials MD, MOH. They hold a License No. L6960 (TX). The NPI Number for SHAILESH JAIN (MD, MOH) is 1215922802

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SHAILESH JAIN (MD, MOH)
NPI
1215922802
Phone
(210) 567-5280
Address
701 W 5TH ST STE 2207
Enumeration Date
20 September 2005
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4326025800
Graduation Year
1995 (31 years ago)
PAC ID
0143244764
Group Practice PAC ID
8426044256
Professional Enrollment ID
I20060123000618
Address ID
TX797016404MI301XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
shailesh.jain.1@3522.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,132 PSYCHIATRY in TX

Provider Addresses for SHAILESH JAIN (MD, MOH)

  • 701 W 5TH ST STE 2207

    ODESSA, TX 797634206

    Phone: (210) 567-5280

    Fax: (210) 562-5403

    Type: Location

  • 701 W 5th St Ste 2207

    Odessa, TX 797634206

    Phone: (210) 567-5280

    Fax: (210) 562-5403

    Type: Location

  • PO BOX 5291

    MIDLAND, TX 797045291

    Phone: (432) 221-5970

    Type: Mailing

  • 2402 W WALL ST

    MIDLAND, TX 797016316

    Phone: (432) 221-5970

    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: 2006-01-23

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
I20060123000618IPsychiatryTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15462$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11650$0
90792Psychiatric diagnostic evaluation with medical services115106$0
99213Established patient office or other outpatient visit, 20-29 minutes8348$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4727$0
View full utilization report →

Insurance plans in this area (ZIP 79763)

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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: 8426044256View full group profile
NameSpecialtyState
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
-TX
-TX
Family Practice, Geriatric MedicineTX
Endocrinology, Internal MedicineTX
-TX
Family PracticeTX
Family Practice, Geriatric MedicineTX

Reviews

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Frequently asked questions

Is SHAILESH JAIN (MD, MOH) listed with a National Provider Identifier?
Yes — SHAILESH JAIN (MD, MOH) has NPI 1215922802 on file in the registry.
Is SHAILESH JAIN (MD, MOH) shown as active in public data?
Registry records indicate SHAILESH JAIN (MD, MOH) maintains an active NPI.
What expertise is attributed to SHAILESH JAIN (MD, MOH)?
SHAILESH JAIN (MD, MOH)'s specialty line reads Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is SHAILESH JAIN (MD, MOH) associated with Odessa?
Public fields place SHAILESH JAIN (MD, MOH) around Odessa, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SHAILESH JAIN (MD, MOH) is noted as September 20, 2005 where the registry provides it.

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