MANOHAR L JETHANI (MD) – Family Medicine Physician, NPI 1366529505
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,041 FAMILY PRACTICE in IL
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Provider Addresses for MANOHAR L JETHANI (MD)
Berwyn Moose Lodge 424, 3635, South Harlem Avenue, Berwyn, Cook County, Illinois, 60402, United States
BERWYN, IL 604023212
Phone: (708) 447-9402
Fax: (708) 447-3246
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 260 Open Payments records for all available years, with a total value of $10,623.
Total Amount is formed as General ($7,836) + Research ($2,787) + Ownership ($0) = $10,623.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ModernaTX, Inc. ($2,195).
Total Amount
$10,623
General + Research + Ownership
Payments
260
Total payment records
General Amount
$7,836
General payments
Research Amount
$2,787
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ModernaTX, Inc. | $2,195 |
| Lexicon Pharmaceuticals, Inc. | $1,788 |
| SANOFI PASTEUR INC. | $999 |
| AstraZeneca Pharmaceuticals LP | $912 |
| Amgen Inc. | $704 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080930000317 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 275 | 142 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 185 | 125 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 168 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 95 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 91 | 73 | $0 |
Insurance plans in this area (ZIP 60402)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL |
Reviews
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