Ashif K Jethava, MD - Medicare Nephrology in Prince George, VA

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Ashif K Jethava, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Prince George, Virginia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Richmond Nephrology Associates Inc and his current practice location is 4720 Puddledock Rd, Suite 100b, Prince George, Virginia. You can reach out to his office (for appointments etc.) via phone at (508) 334-1000.

Ashif K Jethava is licensed to practice in Virginia (license number 0101264655) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669632782.

Contact Information

Ashif K Jethava, MD
4720 Puddledock Rd, Suite 100b,
Prince George, VA 23875
(508) 334-1000
Not Available

Map and Direction




Physician's Profile

Full NameAshif K Jethava
GenderMale
SpecialityNephrology
Experience21 Years
Location4720 Puddledock Rd, Prince George, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ashif K Jethava graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1669632782
  • Provider Enumeration Date: 06/12/2008
  • Last Update Date: 03/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193908879
  • Enrollment ID: I20190610002729

Medical Identifiers

Medical identifiers for Ashif K Jethava such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669632782NPI-NPPES
1669632782MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 262848 (Massachusetts)Secondary
207R00000XInternal Medicine 049340 (Connecticut)Secondary
208M00000XHospitalist 049340 (Connecticut)Secondary
390200000XStudent In An Organized Health Care Education/training Program 262848 (Massachusetts)Secondary
207RN0300XInternal Medicine - Nephrology 0101264655 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Davita - Midlothian DialysisMidlothian, VADialysis facility
Davita - AmeliaAmelia, VADialysis facility
Bon Secours St Francis Medical CenterMidlothian, VAHospital
Cjw Medical CenterRichmond, VAHospital
Bon Secours Memorial Regional Medical CenterMechanicsville, VAHospital
Bon Secours St Marys HospitalRichmond, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Richmond Nephrology Associates Inc317354904525

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ashif K Jethava allows following entities to bill medicare on his behalf.
Entity NameMid-atlantic Kidney Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700855228
PECOS PAC ID: 7113821513
Enrollment ID: O20031126000043
Entity NameEmergency Medicine Associates Pa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134117393
PECOS PAC ID: 8022914522
Enrollment ID: O20031208000283
Entity NameRichmond Nephrology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710991773
PECOS PAC ID: 3173549045
Enrollment ID: O20051020000052
Entity NameHospitalist Medicine Physicians Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770756991
PECOS PAC ID: 5698842235
Enrollment ID: O20081118000789
Entity NameHospitalist Medicine Physicians Of Fredericksburg, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447577572
PECOS PAC ID: 7719179407
Enrollment ID: O20101013000902
Entity NameSoutheastern Intensivist Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912942665
PECOS PAC ID: 9335152107
Enrollment ID: O20190131001122
Entity NameAlexandria Springfield Emergency Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740529700
PECOS PAC ID: 1052558954
Enrollment ID: O20200115002186
Entity NameHospitalist Medicine Physicians Of Virginia - Richmond Ii, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316583040
PECOS PAC ID: 9234566555
Enrollment ID: O20200227000002
Entity NameHospitalist Medicine Physicians Of Virginia - Midlothian, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215573951
PECOS PAC ID: 4688002090
Enrollment ID: O20200318001891

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashif K Jethava is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ashif K Jethava, MD
671 Hioaks Rd Ste B,
Richmond, VA 23225-4072

Ph: (804) 272-5814		Ashif K Jethava, MD
4720 Puddledock Rd, Suite 100b,
Prince George, VA 23875

Ph: (508) 334-1000

Reviews and Comments


Internal Medicine Doctors in Prince George, VA

Dr. Jiho Joseph Han, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Puddledock Rd, 400, Prince George, VA 23875
Phone: 804-458-1740    Fax: 804-541-1846
Vivak Mahendra Master, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Puddledock Rd Ste 400, Prince George, VA 23875
Phone: 804-458-1740    Fax: 804-541-1846
Shobha Rani Nalluri, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4730 Puddledock Rd, Suite 100, Prince George, VA 23875
Phone: 804-452-3850    Fax: 804-541-7585
Dr. Kadarnath Shammie Boodram, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Crossings Blvd Ste 101, Prince George, VA 23875
Phone: 804-526-7900    Fax: 804-526-7195
Yogesh K Gandhi, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4730 Puddledock Rd, Suite 100, Prince George, VA 23875
Phone: 804-452-3850    Fax: 804-541-7585
Dr. Reza Khan Omarzai, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Puddledock Rd, 400, Prince George, VA 23875
Phone: 804-458-1740    Fax: 804-541-1846

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.