NIREN JASUTKAR (M.D.) – Gastroenterology Physician, NPI 1134447493

NIREN JASUTKAR (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. LP01844 (RI). The NPI Number for NIREN JASUTKAR (M.D.) is 1134447493

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
NIREN JASUTKAR (M.D.)
NPI
1134447493
Phone
(215) 762-6072
Address
219 N BROAD ST FL 5
Enumeration Date
12 May 2010
Last Update Date
18 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20186333460000
Graduation Year
2010 (16 years ago)
PAC ID
1951683465
Group Practice PAC ID
3072650290
Professional Enrollment ID
I20170118001130
Address ID
NJ070942921SE714XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,185 GASTROENTEROLOGY in PA

Provider Addresses for NIREN JASUTKAR (M.D.)

  • 219 N BROAD ST FL 5

    DIVISION OF GASTROENTEROLOGY

    PHILADELPHIA, PA 191071507

    Phone: (215) 762-6072

    Type: Mailing

  • 219 N Broad St Fl 5

    Division of Gastroenterology

    Philadelphia, PA 191071507

    Phone: (215) 762-6072

    Type: Location

  • 1 MAYWOOD AVE

    MAYWOOD, NJ 076071001

    Phone: (551) 257-7005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $358.

Total Amount is formed as General ($358) + Research ($0) + Ownership ($0) = $358.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($71).

Total Amount

$358

General + Research + Ownership

Payments

23

Total payment records

General Amount

$358

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-01-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170118001130IGastroenterologyNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45380Biopsy of large bowel using a flexible endoscope4342$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3737$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3634$0
99214Established patient office or other outpatient visit, 30-39 minutes3222$0
View full utilization report →

Insurance plans in this area (ZIP 19107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072650290View full group profile

Reviews

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Frequently asked questions

What number should I use to identify NIREN JASUTKAR (M.D.) for billing?
Administrative and clinical systems typically use NPI 1134447493 for NIREN JASUTKAR (M.D.).
Is NIREN JASUTKAR (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists NIREN JASUTKAR (M.D.) as active.
What does the directory say NIREN JASUTKAR (M.D.) does?
Insurance directories may phrase it differently, but here NIREN JASUTKAR (M.D.) maps to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NIREN JASUTKAR (M.D.) in Philadelphia, Pennsylvania?
For routing, start with Philadelphia, Pennsylvania for NIREN JASUTKAR (M.D.), then verify phone and hours locally.
Who maintains NIREN JASUTKAR (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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