DR. KETAN JANI M.D.
NPI 1679575054
Internal Medicine - Pulmonary Disease in Prescott, AZ

Q: What is Ketan Jani's NPI number?

The NPI number for Ketan Jani is 1679575054. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Ketan Jani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Ketan Jani was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 15, 2005PECOS EnrolledAccepts Medicare Assignment

3777 CROSSINGS DR, PRESCOTT, AZ 86305(928) 771-9693(928) 708-0505 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Ketan Jani M.d. NPPES

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

DR. KETAN JANI M.D. (NPI 1679575054) is an individual pulmonary disease provider in Prescott, Arizona, licensed in Arizona (30908) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1679575054

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. KETAN JANICredential: M.D.

Location Address3777 CROSSINGS DRPrescott, AZ 86305-7121

Mailing AddressPo Box 47729Phoenix, AZ 85068-7729 · (623) 934-5600 · Fax (623) 934-5603

Phone(928) 771-9693

Fax(928) 708-0505

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateAugust 15, 2005

Last NPPES UpdateJanuary 25, 2018

✔ NPI 1679575054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in AZ · 30908

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 30908 (AZ)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 30908 (AZ)

3777 CROSSINGS DR, Prescott, AZ 86305

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Other Identifiers 2

OtherP00063201AZ · Medicare Railroad Carrier

Medicaid764606AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

Dr. Ketan Jani 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 ID5294789376

PECOS Enrollment IDI20050912000852

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.

Medicare Billing Reassignments

Medicare enrollment records show Ketan Jani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Grand Medical Center PLLC

0.2 mi

Multi-Specialty

3777 CROSSINGS DR
Prescott, AZ 86305

Reassigned Medicare billing, Arizona enrollment
3 clinicians in this Medicare group

NPI 1619998705 (623) 934-5600

Prescott Pulmonary And Sleep Specialists, PLLC

0.2 mi

Pulmonary Disease

3769 CROSSINGS DR STE A
Prescott, AZ 86305

Reassigned Medicare billing, Arizona enrollment

NPI 1407606866 (928) 771-9314

Yavapai Community Hospital Association

2.6 mi

Surgery

804 AINSWORTH DRIVE STE. 103
Prescott, AZ 86301

Reassigned Medicare billing, Arizona enrollment
83 clinicians in this Medicare group

NPI 1649464454 (928) 445-2700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the 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.

2,105 services1,394 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.

1,462 services905 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

843 services797 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

832 services788 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

800 services759 patients

Test to measure oxygen level in blood using ear or finger device continuously overnight 94762

This procedure involves using a small device, placed on your ear or finger, to continuously monitor your blood oxygen level overnight. It's painless, non-invasive, and helps assess your body's oxygen supply during sleep.

159 services130 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.

109 services109 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.

100 services100 patients

Electronic analysis of implanted neurostimulator generator with complex cranial nerve stimulator programming 95977

This procedure involves using electronic systems to evaluate and adjust an implanted neurostimulator generator. This device aids in controlling nerve activity in the brain, helping manage conditions like epilepsy or chronic pain. It's a non-invasive process that ensures optimal device performance.

71 services45 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

64 services63 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

47 services47 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

36 services36 patients

Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming 95976

This procedure involves using electronic devices to analyze and adjust a neurostimulator generator. This device helps regulate nerve activity in the brain, improving certain neurological conditions. The programming is kept simple for easy understanding and management.

34 services27 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

31 services31 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970

This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.

21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Referred Medical Equipment & Supplies CMS DME claims 41

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

33 suppliers2,019 claims2,019 services$36.90 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

11 suppliers318 claims611 services$1.32 avg. paid by Medicare

Small volume nonfiltered pneumatic nebulizer, disposable A7004

DME-Other DME · category DE000N

2 suppliers14 claims28 services$1.21 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

9 suppliers43 claims43 services$13.57 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

4 suppliers46 claims80 services$0.51 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

26 suppliers1,436 claims1,436 services$88.67 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

25 suppliers1,770 claims3,809 services$34.15 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

20 suppliers1,076 claims4,347 services$19.22 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

22 suppliers757 claims2,858 services$14.93 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

29 suppliers1,318 claims1,318 services$55.83 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

37 suppliers1,721 claims1,721 services$18.77 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

15 suppliers176 claims176 services$9.88 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

16 suppliers534 claims534 services$14.90 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

36 suppliers3,262 claims14,040 services$2.30 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

21 suppliers266 claims266 services$6.39 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

28 suppliers931 claims931 services$11.56 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

14 suppliers749 claims756 services$16.71 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

5 suppliers49 claims50 services$41.85 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

6 suppliers37 claims37 services$920.41 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

8 suppliers975 claims975 services$84.67 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

8 suppliers557 claims557 services$234.17 avg. paid by Medicare

Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment E0486

DME-Other DME · category DE000N

2 suppliers32 claims32 services$1,182.06 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

9 suppliers205 claims205 services$142.06 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

12 suppliers1,347 claims1,347 services$13.27 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

11 suppliers420 claims422 services$5.47 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

22 suppliers2,450 claims2,459 services$36.76 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers11 claims11 services$51.38 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

25 suppliers3,930 claims3,937 services$84.78 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

14 suppliers1,289 claims1,296 services$31.92 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

6 suppliers25 claims25 services$43.32 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

7 suppliers347 claims20,820 services$4.43 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

7 suppliers224 claims13,350 services$6.56 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

17 suppliers205 claims41,008 services$0.03 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

4 suppliers14 claims2,560 services$0.05 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers24 claims2,130 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

22 suppliers515 claims30,381 services$0.78 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers15 claims375 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers115 claims603,750 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier21 claims21 services$32.96 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

26 suppliers891 claims891 services$25.63 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

5 suppliers12 claims12 services$43.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

ARIZONA GRAND MEDICAL CENTER PLLC

Clinic/Center (Multi-Specialty)

3777 CROSSINGS DR
PRESCOTT, AZ 86305

Yavapai County (928) 771-9693

ARIZONA GRAND MEDICAL CENTER PLLC

Clinic/Center (Multi-Specialty)

3777 CROSSINGS DR
PRESCOTT, AZ 86305

Yavapai County (623) 934-5600

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 Ketan Jani's NPI number?

The NPI number for Ketan Jani is 1679575054. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Ketan Jani located?

Ketan Jani practices at 3777 Crossings Dr, Prescott, AZ 86305. The listed phone number is (928) 771-9693.

What is Ketan Jani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ketan Jani enrolled in Medicare?

Yes. Ketan Jani 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 organizations bill Medicare for Ketan Jani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ketan Jani reassigns Medicare benefits to 3 organizations: Arizona Grand Medical Center PLLC (Prescott, AZ), Prescott Pulmonary And Sleep Specialists, PLLC (Prescott, AZ) and Yavapai Community Hospital Association (Prescott, AZ). Each 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 Ketan Jani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ketan Jani accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Ketan Jani 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 Ketan Jani was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.