Aditya Birbal-Jain, MD
NPI 1255628723ActiveIndividual· Family Medicine· Danville, IL
Family Medicine (MD) with Carle Health Care Incorporated, practicing in Danville, Illinois. Their prescriptions cost Medicare Part D more than their services did: $668,506 for 5,716 claims, against $30,108 paid for services in 2024. Lists Carle Bromenn Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1255628723 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 6, 2011 |
| Last updated in NPPES | Dec 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036133835 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 177 |
|---|---|
| Services billed | 686 across 18 procedure codes |
| Paid by Medicare | $30,108 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,716 · 13,593 30-day fills |
|---|---|
| Patients | 484 |
| Total drug cost | $668,506 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
Hospital affiliations
- Carle Bromenn Medical CenterNormal, IL
- Carle Foundation HospitalUrbana, IL
Other facilities
- Carle Home CareHome health agency · Champaign, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 family medicine physicians in Danville · All family medicine physicians in Illinois