MR. KANISHQ RAJAN JETHANI M.D
NPI 1003553744
Internal Medicine in Springfield, MA
About Mr. Kanishq Rajan Jethani M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KANISHQ RAJAN JETHANI M.D (NPI 1003553744) is an individual internal medicine provider in Springfield, Massachusetts, licensed in Massachusetts (1023396) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Baystate Franklin Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kanishq Rajan Jethani M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kanishq Rajan Jethani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MA 01199
- Reassigned Medicare billing, Massachusetts enrollment
- 1,537 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baystate Franklin Medical Center
Acute Care Hospitals · Greenfield, MABaystate Medical Center
Acute Care Hospitals · Springfield, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MA 01107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kanishq Rajan Jethani's NPI number?
The NPI number for Kanishq Rajan Jethani is 1003553744. It was assigned to this individual provider in the NPPES registry on May 15, 2022.
Where is Kanishq Rajan Jethani located?
Kanishq Rajan Jethani practices at 759 Chestnut St, Springfield, MA 01107. The listed phone number is (413) 794-4320.
What is Kanishq Rajan Jethani's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kanishq Rajan Jethani enrolled in Medicare?
Yes. Kanishq Rajan Jethani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kanishq Rajan Jethani's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kanishq Rajan Jethani reassigns Medicare benefits to Baystate Medical Practices, Inc (Springfield, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kanishq Rajan Jethani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kanishq Rajan Jethani accept?
Health plans from Taro Health list Kanishq Rajan Jethani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kanishq Rajan Jethani affiliated with any hospitals?
According to CMS data, Kanishq Rajan Jethani is affiliated with Baystate Franklin Medical Center and Baystate Medical Center.
When was this NPI record last updated?
The NPPES record for Kanishq Rajan Jethani was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kanishq Rajan Jethani, M.D · NPI 1003553744
Internal Medicine physician in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since May 15, 2022.
## Identity
- **NPI:** 1003553744 (Entity type: Individual)
- **Enumerated:** May 15, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 1023396 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 759 CHESTNUT ST, Springfield, MA 01107-1619
- **Phone:** (413) 794-4320 · **Fax:** (413) 794-1767
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Baystate Medical Practices, Inc (NPI 1548205909, Springfield, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003553744) · Data from the CMS NPPES public registry.