JONATHAN MARK KLETZ DPM NPI 1104879998

NPI Information

  • NPI: 1104879998
  • Provider Name: JONATHAN MARK KLETZ, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6760 ABRAMS RD
    SUITE 203
    DALLAS, TX
    ZIP 75231
  • Phone: (214) 340-8885

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NPI Details

Jonathan Mark Kletz, DPM is a foot and ankle surgery podiatrist in Dallas, TX with 36 years of experience. Jonathan Mark Kletz, DPM NPI is 1104879998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

6760 ABRAMS RD
SUITE 203
DALLAS, TX
ZIP 75231-246
Phone: (214) 340-8885
Fax: (214) 340-4046

The NPI 1104879998 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of foot, 2 views (HCPCS:73620)
  • Injection into tendon or ligament (HCPCS:20550)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery1102TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U02977MEDICARE UPINTEXAS
28F7539MEDICARE PINTEXAS
300G81CMEDICARE PINTEXAS
400T11AMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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