Kirthi Kavya Jetty, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.015685 Issued in OH

Practice address

1075 N Washington St
Greenfield, OH 45123-9780

Phone

(937) 981-9444

NPI assigned

Mar 26, 2019

Last updated

Aug 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
• Adena Hospice Hospice, Chillicothe, OH, CCN 361591
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
• Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331
• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjetty1066057@direct.osumc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  Care Compare affiliation
• Adena Health System

  dba Adena Regional Medical Center

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Adena Home Health, LLC

  dba Adena Home Health

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1700805538
  Care Compare affiliation
• Adena Hospice, LLC

  dba Adena Hospice

  • Community Based Hospice Care Agency
  • Chillicothe, OH
  • NPI 1417130170
  Care Compare affiliation
• Greenfield Area Medical Center

  • Critical Access Hospital
  • Greenfield, OH
  • NPI 1215960901
  Care Compare affiliation
• Ohiohealth Corporation

  dba Riverside Methodist Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  dba OhioHealth Laboratory Systems

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1407317159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 N WASHINGTON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451239780",
            "telephone_number": "937-981-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 N WASHINGTON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451239780",
            "telephone_number": "937-981-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTY",
        "first_name": "KIRTHI",
        "middle_name": "KAVYA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Houck
• Lisa R Howard
• Jonah Humphries, DC
• Desiree Nicole Jackson
• Jacob J. Bissonette DDS, LLC (Greenfield Family Dentistry)
• Betty C Johnson
• Gary Taylour Johnson
• Leah Johnson
• Brandy M Jordan, MSN, APRN, FNP-C
• Esther Grace Pablo Kanayjorn, MD

• Family Medicine Physician in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.