JONAH M LICHT MD NPI 1134192891

NPI Details

Jonah M Licht, MD is a nephrology internal medicine in Providence, RI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Jonah M Licht, MD NPI is 1134192891. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 HIGHLAND AVE
PROVIDENCE, RI
ZIP 02906
Phone: (401) 277-9729
Fax: (401) 277-9730

The NPI 1134192891 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), Power Mobility Devices.

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.

• Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
• Ultrasonic guidance for blood vessel access (HCPCS:76937)
• Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
• Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
• Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
• Replacement of tunneled central venous tube (HCPCS:36581)
• Removal of tunneled central venous tube (HCPCS:36589)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
• Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
• Insertion of tube into chest or arm artery, each first order branch (HCPCS:36215)
• Balloon dilation of vein with review by radiologist, initial vein (HCPCS:37248)
• Review by radiologist of arm or leg artery image (HCPCS:75710)
• Review by radiologist of image for removal of obstructive material (HCPCS:75901)
• Mechanical removal of obstructive material from central venous tube (HCPCS:36595)
• Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
• Ultrasonic guidance for blood vessel access (HCPCS:76937)
• Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
• Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
• Balloon dilation of dialysis segment with review by radiologist (HCPCS:36907)
• Replacement of tunneled central venous tube (HCPCS:36581)
• Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
• Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 2/10/2006 and was last updated on 6/13/2025.

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:

Other Identifiers

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