ASHIF K. JETHAVA MD – NPI #1669632782
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

ASHIF JETHAVA is a physician located in MIDLOTHIAN, VA. NPPES has assigned the NPI number 1669632782 to ASHIF JETHAVA on June 12, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Dec 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASHIF JETHAVA below.

NPI Profile for
ASHIF K. JETHAVA

NPI Number
1669632782
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ASHIF K. JETHAVA
Credentials
MD
Primary location
13855 VILLAGE PLACE DRIVE
MIDLOTHIAN, VA 23114
Phone: (804) 464-1028 Fax: (804) 464-2931
1 Other location(s):
200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (240) 686-3300
Mailing address
671-B HIOAKS ROAD
RICHMOND, VA 23225-4072
Phone: (804) 272-5814 Fax: (804) 560-0232
Sole Proprietor
No
Updated
Certification Date
Mar 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ASHIF JETHAVA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidVA1669632782
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 VA 0101264655
390200000X
- Student in an Organized Health Care Education/Training Program		 MA 262848
208M00000X
- Hospitalist		 CT 049340
207R00000X
- Internal Medicine		 MA 262848

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ASHIF JETHAVA is affiliated with the following medical group(s):
  • HOSPITAL
    • BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER
      8260 ATLEE ROAD
      MECHANICSVILLE, VA 23116
    • BON SECOURS ST FRANCIS MEDICAL CENTER
      13710 ST FRANCIS BOULEVARD
      MIDLOTHIAN, VA 23114
    • BON SECOURS ST MARYS HOSPITAL
      5801 BREMO RD
      RICHMOND, VA 23226
    • CJW MEDICAL CENTER
      7101 JAHNKE ROAD
      RICHMOND, VA 23235
    • HENRICO DOCTORS' HOSPITAL
      1602 SKIPWITH ROAD
      RICHMOND, VA 23229
  • DIALYSIS FACILITY
    • DAVITA AMELIA DIALYSIS
      15151 PATRICK HENRY HWY
      AMELIA COURT HOUSE, VA 23002
    • DAVITA JAMES RIVER HOME DIALYSIS
      13859 Village Place Drive
      Midlothian, VA 23114
    • DAVITA MIDLOTHIAN
      14281 MIDLOTHIAN TPKE
      MIDLOTHIAN, VA 23113

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