Heena Aditya Birbal Jain, MD
NPI 1255694675ActiveIndividual· Internal Medicine, Rheumatology· Champaign, IL
Internal Medicine, Rheumatology (MD) with Carle Health Care Incorporated and 1 other group, practicing in Champaign, Illinois. Their prescriptions cost Medicare Part D more than their services did: $2,797,134 for 3,193 claims, against $88,228 paid for services in 2024. Amgen Inc. reported $19.08 in payments in 2025, mostly food and beverage. Lists Carle Foundation Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1255694675 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 20, 2012 |
| Last updated in NPPES | Apr 8, 2026 |
| Certified by provider | Apr 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | 036136836 | 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 - Internal Medicine (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 293 |
|---|---|
| Services billed | 2,062 across 16 procedure codes |
| Paid by Medicare | $88,228 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,193 · 6,520 30-day fills |
|---|---|
| Patients | 517 |
| Total drug cost | $2,797,134 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Rheumatology |
| Telehealth | Offers telehealth |
Medical groups
- Carle Health Care IncorporatedUrbana, IL · 1,666 clinicians
- Christie Clinic, PLLCChampaign, IL · 220 clinicians
Hospital affiliations
- Carle Foundation HospitalUrbana, IL
- Saint James HospitalPontiac, IL
Industry payments (Open Payments)
- 2025$19.08 · 1 payment from 1 company
- 2024$25.63 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $19.08 | 1 |
What the 2025 payments were for
- Food and Beverage$19.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other rheumatologists in Champaign
- 1215978473
- 1528440757
- 1689804981
- 1700221488
- 1710917422
- 1831376961
- 1881075646
- 1891764643
- 1831279744
- 1447367081