Rajiv Jetly, M.D.
NPI 1861494247ActiveIndividual· Internal Medicine· Prescott Valley, AZ
Internal Medicine (M.D.) with Southwest I.D. and Medical Clinic, Lc, practicing in Prescott Valley, Arizona. Their prescriptions cost Medicare Part D more than their services did: $888,514 for 13,217 claims, against $192,386 paid for services in 2024. Lists Yavapai Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1861494247 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 15, 2005 |
| Last updated in NPPES | May 11, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 29064 | AZ |
| Internal Medicine, Infectious Disease | 207RI0200X | 29064 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 592 |
|---|---|
| Services billed | 2,892 across 34 procedure codes |
| Paid by Medicare | $192,386 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13,217 · 33,801 30-day fills |
|---|---|
| Patients | 969 |
| Total drug cost | $888,514 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Internal Medicine |
| Secondary specialties | Infectious Disease |
Medical group
- Southwest I.D. and Medical Clinic, LcPrescott Valley, AZ · 2 clinicians
Hospital affiliation
- Yavapai Regional Medical CenterPrescott, AZ
Other facilities
- Angels Care Home Health of ArizonaHome health agency · Cottonwood, AZ
- Bayada Home Health Care, Inc.Home health agency · Prescott, AZ
- Centerwell Home HealthHome health agency · Prescott, AZ
- Nurses Network By Quality Home Health CareHome health agency · Prescott Valley, AZ
- Mountain Valley Regional Rehabilitation HospitalInpatient rehabilitation facility · Prescott Valley, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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