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

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: August 02, 2026.

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
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

Other Identifiers 2

OtherP00063201AZ · Medicare Railroad Carrier
Medicaid764606AZ

Accepted Insurance

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

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.

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

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
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 3

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

Clinic/Center (Multi-Specialty)
3777 CROSSINGS DR
PRESCOTT, AZ 86305
Internal Medicine (Pulmonary Disease)
3777 CROSSINGS DR
PRESCOTT, AZ 86305
Clinic/Center (Multi-Specialty)
3777 CROSSINGS DR
PRESCOTT, AZ 86305

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.

What insurance does Ketan Jani accept?

Health plans from 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.