Heena Birbal Jain, MD
NPI 1255694675 · Rheumatology Physician · Champaign, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heena Birbal Jain, MD is a Rheumatology Physician provider in Champaign, IL (NPI 1255694675).
Provider details
- NPI number
- 1255694675
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036136836 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,272 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 438 | $92 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 412 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 148 | $93 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 143 | $16 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 548 | 146 |
| Prednisone | 466 | 173 |
| Hydroxychloroquine Sulfate | 425 | 127 |
| Meloxicam | 255 | 97 |
| Allopurinol | 190 | 54 |
| Gabapentin | 132 | 55 |
| Adalimumabbrand: Humira(cf) Pen | 124 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$26 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 2502 E Empire StBloomington, IL 61704-3738Phone: (217) 309-6650Fax: (309) 661-3317
- St Francis Medical Ctr530 Ne Glen Oak AvePeoria, IL 61637-0001Phone: (309) 624-9351
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Frequently asked questions
- What is Heena Birbal Jain's NPI number?
- Heena Birbal Jain's National Provider Identifier (NPI) is 1255694675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heena Birbal Jain's specialty?
- Heena Birbal Jain is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Heena Birbal Jain located?
- Heena Birbal Jain's practice location on file with NPPES is 1701 Curtis Rd., Champaign, IL 61822-9678.
- What is Heena Birbal Jain's phone number?
- The practice phone number listed in the NPPES registry for Heena Birbal Jain is (217) 365-2851.
- Does Heena Birbal Jain accept Medicare?
- Heena Birbal Jain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heena Birbal Jain's NPI active?
- Yes — Heena Birbal Jain's NPI (1255694675) is active in the NPPES registry as of the last update on 2026-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.