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Internal Medicine

Heena A. Birbal Jain, MD

Works at hospitals in Urbana, IL · Pontiac, IL · Illinois

Summary

Dr. Heena A. Birbal Jain, MD is an internal medicine doctor at 101 W University Ave, Champaign, IL 61820. Phone: (217) 366-1200. Accepts Medicare assignment. In 2024, Heena A. Birbal Jain had 293 Original Medicare patients and 2,062 services. NPI 1255694675. Source: CMS National Downloadable File, updated October 2, 2026; CMS Facility Affiliation Data, updated October 2, 2026; CMS Medicare Physician & Other Practitioners, data year 2024.

  • Specialty: Internal medicine doctor (Medicare lists Internal Medicine)
  • Address: 101 W University Ave, Champaign, IL 61820 · Directions (9 more locations)
  • Phone: (217) 366‑1200
  • Medicare: Accepts Medicare assignment
  • Hospitals: Carle Foundation Hospital, Saint James Hospital
  • Group practice: Carle Health Care Incorporated (+1 more)
  • Medical school: graduated 2010 (16 years since medical school)
  • Gender (as listed): Female
  • Telehealth: offered

From official Medicare data

This page shows what Medicare's official clinician data says about Heena A. Birbal Jain, joined by NPI number (data updated October 2, 2026). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

Quick answers

Does Heena A. Birbal Jain accept Medicare assignment?
Yes. Medicare's clinician data says Heena A. Birbal Jain accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
How many Medicare patients does Heena A. Birbal Jain see?
In 2024, CMS data shows 293 Original Medicare patients and 2,062 services for Heena A. Birbal Jain. This counts Original Medicare only and measures volume, not quality.
What is Heena A. Birbal Jain's NPI number?
1255694675. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Medicare activity in 2024

Official CMS public-use data for Heena A. Birbal Jain, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.

Original Medicare patients293
Services billed to Medicare2,062
Different services or procedures16
Participating Medicare providerYes
Average age of these patients70

Most frequent services

  1. Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)586 services
  2. 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's (G2211)555 services
  3. New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)79 services
  4. Aspiration and/or injection of fluid from large joint (20610)27 services
  5. Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more (99215)25 services

Chronic conditions among these patients

Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).

  • High blood pressure75%
  • Arthritis75%
  • High cholesterol69%
  • Anxiety32%
  • Diabetes30%
  • Ischemic heart disease29%

Hospitals where Heena A. Birbal Jain works

Medicare's Facility Affiliation Data lists Heena A. Birbal Jain at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.

  • Carle Foundation HospitalUrbana, IL · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 140091
  • Saint James HospitalPontiac, IL · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: not listed by Medicare · CCN 140161

Practice locations

Addresses where Heena A. Birbal Jain is enrolled with Medicare (CMS data updated October 2, 2026). The first 5 of 10; the Medicare profile lists all.

Group practices

Medicare enrollment lists Heena A. Birbal Jain as a member of these groups (CMS data updated October 2, 2026).

  • Carle Health Care Incorporated1,666 clinicians in the group
  • Christie Clinic, PLLC220 clinicians in the group

Specialties

Find other Internal Medicine doctors in Illinois →

Other internal medicine doctors in Champaign

Clinicians with the same Medicare primary specialty in Champaign, IL — not a recommendation.

All internal medicine doctors in Champaign →

Other clinicians in Carle Health Care Incorporated

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

Clinician information

CredentialMD
Graduation year2010 (16 years since medical school)
Gender (as listed)Female
Medicare assignmentAccepts (Medicare-approved amount as full payment)
TelehealthOffers telehealth services
NPI (National Provider Identifier)1255694675
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
  2. Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
  3. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
  4. Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
  5. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  6. Medicare Care Compare — official Medicare tool to look up clinicians