MR. KANISHQ RAJAN JETHANI M.D
NPI 1003553744
Internal Medicine in Springfield, MA

Q: 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.

Q: What is Kanishq Rajan Jethani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 15, 2022PECOS EnrolledAccepts Medicare Assignment

759 CHESTNUT ST, SPRINGFIELD, MA 01107(413) 794-4320(413) 794-1767 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Jun 25, 2025, Jan 24, 2023 and 1 more (4 updates tracked since 2022).

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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

NPI1003553744

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. KANISHQ RAJAN JETHANICredential: M.D

Location Address759 CHESTNUT STSpringfield, MA 01107-1619

Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-3909

Phone(413) 794-4320

Fax(413) 794-1767

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 15, 2022

Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1003553744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 1023396

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 1023396 (MA)

759 CHESTNUT ST, Springfield, MA 01107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9032581236

PECOS Enrollment IDI20250703001210

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220016

Location164 High StreetGreenfield, MA 01301 · Franklin County

Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician 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.

New Patient

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEHAK ALI MD

Internal Medicine