JATAN RAYTHATHA PA-C
NPI 1144771866
Physician Assistant - Medical in Dover, DE

Active since October 18, 2016PECOS EnrolledAccepts Medicare Assignment
742 S GOVERNORS AVE, SUITE 3, DOVER, DE 19904(302) 678-5008(302) 678-5505 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 17, 2017, Oct 18, 2016 (2 updates tracked since 2016).

About Jatan Raythatha Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JATAN RAYTHATHA PA-C (NPI 1144771866) is an individual medical provider in Dover, Delaware, licensed in Delaware (C5-0001132) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1144771866
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJATAN RAYTHATHACredential: PA-C
Location Address742 S GOVERNORS AVE, SUITE 3Dover, DE 19904-4111
Mailing Address742 S Governors Ave, Suite 3Dover, DE 19904-4111 · (302) 678-5008 · Fax (302) 678-5505
Fax(302) 678-5505
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 18, 2016
Last NPPES UpdateApril 17, 20172 updates tracked since enumeration
NPI 1144771866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in DE · C5-0001132
742 S GOVERNORS AVE, Dover, DE 19904

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

Jatan Raythatha Pa-c 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 ID941592547
PECOS Enrollment IDI20170517002642
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
511 services395 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
304 services293 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
178 services178 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services82 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
742 S GOVERNORS AVE, SUITE 3
DOVER, DE 19904
Anesthesiology
742 S GOVERNORS AVE, SUITE 2
DOVER, DE 19904
Anesthesiology
742 S GOVERNORS AVE, SUITE 2
DOVER, DE 19904
Clinic/Center (Ambulatory Surgical)
742 S GOVERNORS AVE, SUITE 2
DOVER, DE 19904
Internal Medicine
742 S GOVERNORS AVE, SUITE 3
DOVER, DE 19904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144771866, enumerated as an "individual" on October 18, 2016.

The provider is located at 742 S GOVERNORS AVE SUITE 3 DOVER, DE 19904 and the phone number is (302) 678-5008.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.