NPIMap

Individual provider Active NPI

Ashif K Jethava, MD

  • Nephrology Physician
  • Midlothian, VA
National Provider Identifier
1669632782
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101264655 Issued in VA
Practice address
13855 Village Place Drive
Midlothian, VA 23114
Phone
(804) 464-1028
Fax
(804) 464-2931
NPI assigned
Jun 12, 2008
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 262848 MA
Internal Medicine Physician 207R00000X 262848 MA
Internal Medicine Physician 207R00000X 049340 CT
Nephrology Physician 207RN0300X 0101264655 VA Primary
Hospitalist Physician 208M00000X 049340 CT

Addresses

Primary practice location

13855 Village Place Drive
Midlothian, VA 23114

Mailing address

671-B Hioaks Road
Richmond, VA 23225-4072
Phone (804) 272-5814

Other practice location 1

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone (240) 686-3300

Other identifiers 1

IdentifierTypeStateIssuer
1669632782MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610002729 VA Practitioner - NephrologyPractitioner - Hospitalist 5193908879 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Nephrology Associates IncGroup PAC ID 3173549045, 24 clinicians

Practice addresses (Care Compare)

671 Hioaks Rd B
Richmond, VA 23225-4072
Phone (804) 323-6903

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262848MAMDInternal Medicine Physician
049340CTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Apr 20, 2019 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Richmond Nephrology Associates, Inc. Nephrology CurrentSince Jan 1, 2021 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Dec 16, 2019 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Dec 16, 2019 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Apr 20, 2019 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Mar 27, 2019 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients
Advanced Arthritis and Rheumatology Care, PC Past Accepting new patients

Locations

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 765-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

13855 Village Place Dr
Midlothian, VA 23114
Phone (804) 464-1028

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

671 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 272-5814

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: ashif.jethava@direct.davitaphysiciansolutions.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAJACD

Organizations & group practices 10

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1669632782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671-B HIOAKS ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254072",
            "telephone_number": "804-272-5814",
            "fax_number": "804-560-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13855 VILLAGE PLACE DRIVE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23114",
            "telephone_number": "804-464-1028",
            "fax_number": "804-464-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238059274",
            "country_code": "US",
            "telephone_number": "240-686-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JETHAVA",
        "first_name": "ASHIF",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2024-12-27",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "262848",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "262848",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "049340",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101264655",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "049340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669632782",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.