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JONATHAN MARK KLETZ DPM NPI 1104879998


NPI Information

NPI: 1104879998
Provider Name: JONATHAN MARK KLETZ, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: PODIATRIC MEDICAL PARTNERS OF TEXAS PA

PECOS Registration: Yes

Address:
6760 ABRAMS RD
SUITE 203
DALLAS, TX
ZIP 75231
Phone: (214) 340-8885
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Jonathan Mark Kletz, DPM is a foot and ankle surgery podiatrist in Dallas, TX with 35 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.

  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.