ASHIF K JETHAVA (MD) – Nephrology Physician, NPI 1669632782
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
332 NEPHROLOGY in VA
Provider Addresses for ASHIF K JETHAVA (MD)
671-B HIOAKS ROAD
RICHMOND, VA 232254072
Phone: (804) 272-5814
Fax: (804) 560-0232
Type: Mailing
13855 VILLAGE PLACE DRIVE
MIDLOTHIAN, VA 23114
Phone: (804) 464-1028
Fax: (804) 464-2931
Type: Location
2201, East Main Street, Shockoe Bottom, Richmond, Richmond City, Virginia, 23223, United States
SUITE 201
RICHMOND, VA 23223
Phone: (804) 643-3061
Fax: (804) 643-3817
Type: Mailing
200 Medical Park Blvd
Petersburg, VA 238059274
Phone: (240) 686-3300
Type: Location
671 HIOAKS RD STE B
RICHMOND, VA 232254072
Phone: (804) 272-5814
Fax: (804) 560-0232
Type: Mailing
4720, Puddledock Road, Riverdale, Prince George County, Virginia, 23875, United States
SUITE 100B
PRINCE GEORGE, VA 23875
Phone: (508) 334-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $591.
Total Amount is formed as General ($591) + Research ($0) + Ownership ($0) = $591.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($145).
Total Amount
$591
General + Research + Ownership
Payments
37
Total payment records
General Amount
$591
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-06-10
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 |
|---|---|---|---|---|
| I20190610002729 | I | Nephrology | VA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,015 | 349 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 559 | 95 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 307 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 219 | 176 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 147 | 140 | $0 |
Insurance plans in this area (ZIP 23225)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| HOSPITALIST | MA | 83036 | Hemoglobin A1C level | 104 | 83 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nephrology, Internal Medicine | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Internal Medicine, Nephrology | VA |
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