Dr. Heena Aditya Birbal Jain, MD

  • Urbana, IL
  • Rheumatologist
NPI1255694675PAC ID8820391444
Medicare services, 2024
1,272
Medicare patients, 2024
293
Part D claims, 2024
3,193
Hospital affiliations
3
Industry payments
$562
Practice address
611 West Park Street, Urbana, IL 61801
Practice phone
Call (217) 383-3311
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Carle Foundation Hospital

Hospital · Urbana, Illinois

See all 8 affiliations

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Dr. Heena Aditya Birbal Jain is a rheumatologist in Urbana, Illinois

Dr. Birbal Jain practices at Carle Foundation Hospital in Urbana, Illinois, part of The Carle Foundation.

Dr. Birbal Jain's NPI, 1255694675, was assigned on June 20, 2012. Dr. Birbal Jain holds Illinois license 036136836.

NPI and contact details
Medicare PAC ID
8820391444
NPI enumeration date
June 20, 2012
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(217) 383-3311
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Female
Estimated age
42
Medical school graduation
2010

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Heena Aditya Birbal Jain practices at Carle Foundation Hospital in Urbana, Illinois

Dr. Birbal Jain's primary practice is Carle Foundation Hospital, at 611 West Park Street, Urbana, IL 61801 in Champaign County. The practice phone is (217) 383-3311.

Source: Dmand AI Affiliation Data

Dr. Heena Aditya Birbal Jain is affiliated with 5 sites of care and 3 medical groups

Dr. Birbal Jain's primary practice is Carle Foundation Hospital in Urbana, Illinois, part of The Carle Foundation. Dr. Birbal Jain is also affiliated with Carle BroMenn Medical Center. The medical group on file is Carle Physician Group. Dmand AI also links Dr. Birbal Jain to 1 more hospital, 2 group practices and clinics and 2 medical groups, each named with a free account.

See all 8 affiliations for Dr. Birbal Jain

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Heena Aditya Birbal Jain's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Birbal Jain practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Carle Foundation HospitalAvailable with a free account
+4 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Heena Aditya Birbal Jain is one of 285 rheumatologists in Illinois

Rheumatology is Dr. Birbal Jain's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Birbal Jain is licensed in Illinois.

Specialties and state licenses

  • Rheumatology, IllinoisPrimaryLicense 036136836 · taxonomy 207RR0500X

Rheumatologists near Dr. Birbal Jain

Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Heena Aditya Birbal Jain billed Medicare for 1,272 services in 2024

CMS data shows 1,272 Medicare services from Dr. Birbal Jain across 5 procedure codes in 2024, for 293 Medicare patients. Medicare paid $57,061 for them.

Medicare services, 20241,272
Medicare patients293
Paid by Medicare$57,061
Procedure codes5

Dr. Birbal Jain's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 6192024: 69011%
Other services
2023: 02024: 555
Surgery
2023: 802024: 2766%

Where Dr. Birbal Jain's Medicare services took place, 2024

  • In an office95975%
  • In a facility31325%

Dr. Birbal Jain compared with the Illinois median for rheumatologists, 2024

  • Dr. Birbal Jain
  • Illinois median
Medicare services
1,272vs 98729% above
Medicare patients
293vs 26212% above
Part D claims
3,020vs 1,0772.8 times

Medians across 290 rheumatologists in Illinois with Dmand AI profiles that report each measure.

Dr. Birbal Jain's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Birbal Jain

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Heena Aditya Birbal Jain treated 293 Medicare patients in 2024, average age 70

CMS counts 293 Medicare patients who saw Dr. Birbal Jain in 2024. The largest group is 65 to 74, with 138 patients. 75% of them have arthritis, and 75% have high blood pressure. 25% are also on Medicaid. Their average risk score is 1.53, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Birbal Jain's median patient age at 69, with 70% women.

Medicare patients, 2024293
Average age70
Average risk score1.53
Also on Medicaid25%

Dr. Birbal Jain's Medicare patients by age, 2024

Dr. Birbal Jain's Medicare patients by sex, 2024

  • Women20771%
  • Men8629%

Chronic conditions among Dr. Birbal Jain's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol69%
  4. Anxiety32%
  5. Diabetes30%
  6. Ischemic heart disease29%
  7. Mood disorders29%
  8. Depression26%

Share of Medicare patients with each condition. A patient can have several.

Dr. Birbal Jain's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women70%
  • Men30%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Heena Aditya Birbal Jain wrote 3,193 Medicare Part D claims in 2024

In 2024, Dr. Birbal Jain wrote 3,193 Medicare Part D claims for 517 patients. 83% of them were for generic drugs. CMS names the drug for 3,020 of them, across 32 drugs with 11 or more claims each, at $2,583,773 in total drug cost. In 2023, CMS named 2,375 claims across 28 drugs.

Part D claims, 20243,193
Drugs named by CMS32
Total drug cost$2.6M
Part D patients517

Dr. Birbal Jain's Part D claims by kind of drug, 2024

  • Generic2,642 claims83%
  • Brand-name498 claims16%
  • Other53 claims2%

Dr. Birbal Jain's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2,3752024: 3,02027%

Drugs named by CMS: 32 in 2024, 28 in 2023.

See all prescribing by Dr. Birbal Jain

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Heena Aditya Birbal Jain offers telehealth to Medicare patients

Dr. Birbal Jain accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Birbal Jain as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Heena Aditya Birbal Jain received $562 in industry payments from 2016 to 2025

CMS Open Payments shows 24 general payments to Dr. Birbal Jain from 6 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 84% of the total. Abbvie Inc. paid the most, $293.

General payments to Dr. Birbal Jain by program year, 2016 to 2025

General payments to Dr. Birbal Jain by kind, 2016 to 2025

$562in total
  • Food and beverage$47484%
  • Education$8816%

Companies that paid Dr. Birbal Jain the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Birbal Jain

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Dr. Heena Aditya Birbal Jain's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Heena Aditya Birbal Jain

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Heena Aditya Birbal Jain's NPI number?

Dr. Heena Aditya Birbal Jain's NPI number is 1255694675. It was assigned on June 20, 2012, and it is active in the NPI Registry.

What kind of doctor is Dr. Heena Aditya Birbal Jain?

Dr. Heena Aditya Birbal Jain is a rheumatologist in Urbana, Illinois. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).

Where does Dr. Heena Aditya Birbal Jain practice?

Dr. Birbal Jain practices at 611 West Park Street, Urbana, IL 61801. Dr. Birbal Jain's primary practice is Carle Foundation Hospital in Urbana, Illinois, part of The Carle Foundation. Dmand AI also links Dr. Birbal Jain to 1 hospital, 2 group practices and clinics and 2 medical groups.

What is Dr. Heena Aditya Birbal Jain's office phone number?

The practice phone on file for Dr. Birbal Jain is (217) 383-3311.

What is Dr. Heena Aditya Birbal Jain's medical license number?

Dr. Birbal Jain holds Illinois license 036136836.

Which hospitals is Dr. Heena Aditya Birbal Jain affiliated with?

Dr. Birbal Jain practices at Carle Foundation Hospital in Urbana, Illinois. Dr. Birbal Jain is also affiliated with Carle BroMenn Medical Center. Dmand AI links Dr. Birbal Jain to 1 more hospital.

What medical group is Dr. Heena Aditya Birbal Jain part of?

Dr. Birbal Jain is linked to Carle Physician Group. Dmand AI links Dr. Birbal Jain to 2 more medical groups.

Does Dr. Heena Aditya Birbal Jain accept Medicare?

Yes. CMS data shows Dr. Birbal Jain billed Medicare for 1,272 services in 2024, and Dr. Birbal Jain accepts Medicare assignment.

Does Dr. Heena Aditya Birbal Jain offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Birbal Jain as offering telehealth services.

How many Medicare patients does Dr. Heena Aditya Birbal Jain see?

CMS counts 293 Medicare patients who saw Dr. Birbal Jain in 2024, with an average age of 70.

Show 4 more questionsShow fewer questions

What services does Dr. Heena Aditya Birbal Jain bill to Medicare?

In 2024, Dr. Birbal Jain's most billed Medicare services were office visit, established patient (99214), medicare service (G2211) and office visit, new patient (99204).

What drugs does Dr. Heena Aditya Birbal Jain prescribe most?

In 2024 Medicare Part D data, Dr. Birbal Jain's most prescribed drugs by claims were Methotrexate, Prednisone and Hydroxychloroquine Sulfate.

Has Dr. Heena Aditya Birbal Jain received payments from drug or device companies?

CMS Open Payments shows $562 in general payments to Dr. Birbal Jain from 6 companies from 2016 to 2025. The largest total came from Abbvie Inc.

How long has Dr. Heena Aditya Birbal Jain been practicing?

Dr. Birbal Jain graduated from medical school in 2010, 16 years ago.

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