DR. KRUNAL JETHWA M.D NPI 1457607400

NPI Information

  • NPI: 1457607400
  • Provider Name: DR. KRUNAL JETHWA, M.D
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4800 OLDE TOWNE PKWY STE 150A
    MARIETTA, GA
    ZIP 30068
  • Phone: (770) 509-1025

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NPI Details

DR. Krunal Jethwa, M.D is a family medicine in Marietta, GA with 14 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Krunal Jethwa, M.D NPI is 1457607400. 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:

4800 OLDE TOWNE PKWY STE 150A
MARIETTA, GA
ZIP 30068-357
Phone: (770) 509-1025
Fax: (770) 509-1884

The NPI 1457607400 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.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Intravenous injection, bebtelovimab, includes injection and post administration monitoring (HCPCS:M0222)

The enumeration date for this NPI number is 7/27/2012 and was last updated on 6/18/2021.

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
1207Q00000XFamily Medicine87558GEORGIAYes
2207Q00000XFamily Medicine39401SOUTH CAROLINANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

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
1SC91676121OTHERSOUTH CAROLINAMEDICARE PIN
2SC91675193OTHERSOUTH CAROLINAMEDICARE PIN
3394013MEDICAIDSOUTH CAROLINA
4SC9167J577OTHERSOUTH CAROLINAMEDICARE PIN
5SC91676067OTHERSOUTH CAROLINAMEDICARE PIN

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: 11/21/2025

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