JAYKUMAR CHANDRAKANT GHETIA MD
NPI 1679252340
Student in an Organized Health Care Education/Training Program in Marshfield, WI

Q: What is Jaykumar Ghetia's NPI number?

The NPI number for Jaykumar Ghetia is 1679252340. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Q: What is Jaykumar Ghetia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jaykumar Ghetia was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 11, 2023PECOS Enrolled

1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5251(715) 389-4746 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jaykumar Chandrakant Ghetia Md NPPES

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

JAYKUMAR CHANDRAKANT GHETIA MD (NPI 1679252340) is an individual student in an organized health care education/training program in Marshfield, Wisconsin, licensed in Wisconsin (100036-851) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679252340

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJAYKUMAR CHANDRAKANT GHETIACredential: MD

Location Address1000 N OAK AVEMarshfield, WI 54449-5702

Mailing Address1626 N Fig Ave Apt 218Marshfield, WI 54449-1400 · (715) 502-2005

Phone(715) 387-5251

Fax(715) 389-4746

Sole ProprietorNo

Enumeration DateJuly 11, 2023

NPPES CertifiedJuly 11, 2023

✔ NPI 1679252340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in WI · 100036-851

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1000 N OAK AVE, Marshfield, WI 54449

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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 (PECOS)

Jaykumar Chandrakant Ghetia Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ALISON RAE SAMPSON D.O.

Obstetrics & Gynecology