RAJVIR JUTLA DMD
NPI 1477968725
Dentist in Laurel Springs, NJ
About Rajvir Jutla Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAJVIR JUTLA DMD (NPI 1477968725) is an individual dentist in Laurel Springs, New Jersey, licensed in New Jersey (22DI02612900) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rajvir Jutla Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rajvir Jutla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 100 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08021 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rajvir Jutla's NPI number?
The NPI number for Rajvir Jutla is 1477968725. It was assigned to this individual provider in the NPPES registry on June 25, 2014.
Where is Rajvir Jutla located?
Rajvir Jutla practices at 3 Kelly Driver Rd, Laurel Springs, NJ 08021. The listed phone number is (856) 784-5100.
What is Rajvir Jutla's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Rajvir Jutla enrolled in Medicare?
Yes. Rajvir Jutla is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rajvir Jutla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rajvir Jutla reassigns Medicare benefits to Public Health Management Corporation (Philadelphia, PA). 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 Rajvir Jutla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rajvir Jutla accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 7 other insurers list Rajvir Jutla 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.
When was this NPI record last updated?
The NPPES record for Rajvir Jutla was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Rajvir Jutla, DMD · NPI 1477968725
Dentist provider in Laurel Springs, New Jersey. Individual provider, active in the CMS NPPES registry since June 25, 2014.
## Identity
- **NPI:** 1477968725 (Entity type: Individual)
- **Enumerated:** June 25, 2014
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 22DI02612900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 KELLY DRIVER RD, Laurel Springs, NJ 08021-4823
- **Phone:** (856) 784-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Public Health Management Corporation (NPI 1679133268, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 19, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1477968725) · Data from the CMS NPPES public registry.