NIKITA JAIN (MD) – Medical Oncology Physician, NPI 1801381900

NIKITA JAIN (MD) is a healthcare provider. based in Sheboygan, Wisconsin. specializing in HEMATOLOGY/ONCOLOGY, MEDICAL ONCOLOGY, HEMATOLOGY. They hold the professional credentials MD. They hold a License No. 54925 (KY). The NPI Number for NIKITA JAIN (MD) is 1801381900

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NIKITA JAIN (MD)
NPI
1801381900
Phone
(920) 452-1650
Address
1621 N TAYLOR DR
Enumeration Date
30 June 2018
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9417921881
Graduation Year
2017 (9 years ago)
PAC ID
9638574577
Group Practice PAC ID
2567356058
Professional Enrollment ID
I20260113002166
Address ID
FL342052557BR3630XWXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:7State licenses:4Digital endpointsOther names

350 HEMATOLOGY/ONCOLOGY in WI

Provider Addresses for NIKITA JAIN (MD)

  • 1621 N TAYLOR DR

    SHEBOYGAN, WI 530811990

    Phone: (920) 452-1650

    Type: Mailing

  • Fox River, McHenry County, Illinois, 60051, United States

    MCHENRY, IL 600508419

    Phone: (815) 759-4726

    Type: Mailing

  • 529 S Jackson St

    Louisville, KY 402023229

    Phone: (502) 562-3829

    Type: Location

  • 1621 N Taylor Dr

    Sheboygan, WI 530811990

    Phone: (920) 452-1650

    Type: Location

  • 4309 W Medical Center Dr # A

    McHenry, IL 600508419

    Phone: (815) 759-4726

    Type: Location

  • 529 S JACKSON ST

    LOUISVILLE, KY 402023229

    Phone: (502) 562-3829

    Type: Mailing

  • PO BOX 102222

    ATLANTA, GA 303682222

    Phone: (239) 274-8200

    Type: Mailing

  • 3630 MANATEE AVE W

    BRADENTON, FL 342052557

    Phone: (941) 792-1881

    Fax: (941) 795-3924

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 197 Open Payments records for all available years, with a total value of $4,443.

Total Amount is formed as General ($4,443) + Research ($0) + Ownership ($0) = $4,443.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($423).

Total Amount

$4,443

General + Research + Ownership

Payments

197

Total payment records

General Amount

$4,443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2026-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20240521001865IHematology/OncologyWITBD
I20251022003154IMedical OncologyILTBD
I20260113002166IMedical OncologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53081)

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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: 2567356058View full group profile
NameSpecialtyState
Medical OncologyFL
Medical Oncology, Hematology/OncologyFL
H E M A T O L O G Y/ O N C O L O G YFL
H E M A T O L O G Y/ O N C O L O G YFL
Internal Medicine, Hematology/OncologyFL
-GA
Hematology/Oncology, Internal MedicineGA
H E M A T O L O G Y/ O N C O L O G YFL
Hospice/Palliative Care, Internal MedicineFL
H E M A T O L O G Y/ O N C O L O G YGA

Reviews

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Frequently asked questions

Is there an official ID for NIKITA JAIN (MD) in U.S. healthcare records?
The official identifier for NIKITA JAIN (MD) is NPI 1801381900.
Is NIKITA JAIN (MD) shown as active in public data?
Registry records indicate NIKITA JAIN (MD) maintains an active NPI.
What kind of doctor is NIKITA JAIN (MD)?
NIKITA JAIN (MD) is associated with Medical Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with NIKITA JAIN (MD)?
Directory geography for NIKITA JAIN (MD) centers on Sheboygan, Wisconsin.
Can I trust this NPI listing for NIKITA JAIN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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