Aditya Birbal-jain, MD - Medicare Family Practice in Danville, IL

Aditya Birbal-jain, MD is a medicare enrolled "Family Medicine" physician in Danville, Illinois. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Carle Health Care Incorporated and his current practice location is 311 W. Fairchild St., Danville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 431-7600.

Aditya Birbal-jain is licensed to practice in Illinois (license number 036133835) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255628723.

Contact Information

Aditya Birbal-jain, MD
311 W. Fairchild St.,
Danville, IL 61832
(217) 431-7600
(217) 431-7850

Map and Direction




Physician's Profile

Full NameAditya Birbal-jain
GenderMale
SpecialityFamily Practice
Experience14 Years
Location311 W. Fairchild St., Danville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Aditya Birbal-jain graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1255628723
  • Provider Enumeration Date: 07/06/2011
  • Last Update Date: 12/04/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1456577501
  • Enrollment ID: I20140724002627

Medical Identifiers

Medical identifiers for Aditya Birbal-jain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255628723NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036133835 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Carle Foundation HospitalUrbana, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle Health Care Incorporated3577515774799

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aditya Birbal-jain allows following entities to bill medicare on his behalf.
Entity NameHoopeston Community Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366480873
PECOS PAC ID: 3577456037
Enrollment ID: O20040210000011
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aditya Birbal-jain is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Aditya Birbal-jain, MD
611 W. Park St., Bwpc,
Urbana, IL 61801-2500

Ph: (217) 383-6792
Aditya Birbal-jain, MD
311 W. Fairchild St.,
Danville, IL 61832

Ph: (217) 431-7600

Reviews and Comments


Family Medicine Doctors in Danville, IL

Susan Berg, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 311 W. Fairchild, Danville, IL 61832
Phone: 217-431-7650    
Lucille Elizabeth Smallhorn, FNP-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 516 W Madison St, Danville, IL 61832
Phone: 217-962-1892    
Dr. Satyanarayana Ganapathi Raju, D.O., PH.D
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 806 Sheridan St, Danville, IL 61832
Phone: 217-442-3010    Fax: 217-442-3155
Dr. Joyce Karen Brunt, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1900 E Main St, Danville, IL 61832
Phone: 217-554-4560    
Angie Aybar, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 516 W Madison St Ste 406, Danville, IL 61832
Phone: 217-431-7650    
Dr. Mary Y Gindi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 511 W Fairchild St, Danville, IL 61832
Phone: 217-431-2025    Fax: 217-431-0014

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.