NPI age
14 years
Enumerated 2011-12-08
● Active Type 2 · Organization
Jyoti Jain, Md, PA
Jyoti Jain, Md, PA is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jain
Owner/physician
Last NPPES update
2012-04-17
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 23% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-12Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
6448 Broadway Blvd
Garland, TX 750435943
Mailing address
6448 Broadway Blvd
Garland, TX 750435943
Authorized official
Jyoti Jain, M.D., P.A.
Owner/physician
📞 9722168500
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Phani Bodavula, M.D. Pediatrics NPI 1700204690
- Sreevani Bodavula, APRN, FNP-C Nurse Practitioner NPI 1831978394
- Jyoti Jain, M.D. Pediatrics NPI 1932111945
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
Nurse PractitionerDefinition to come...
-
PediatricsA pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 717114 | NICOLE LICENSE |
| 01 (TX) | 111658401 | DR JAIN TPI |
| 01 | 1508151994 | NICOLE NPI |
| 01 (TX) | J9110 | DR JAIN LICENSE |
| 01 | 1932111945 | DR JAIN NPI |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.