Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rajiv Jetly, MD

Individual provider Infectious Disease Physician · NPI 1861494247

Dr. Rajiv Jetly, MD is an Internal Medicine in Prescott Valley, Arizona. Qualified in 1992, 34 years ago. Practices with Southwest I.d. and Medical Clinic, Lc, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
34
Licensed in
AZ
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3235 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone: (928) 772-3340
Fax: (928) 759-9611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 29064 (AZ)
Infectious Disease Physician Taxonomy 207RI0200X · Licence 29064 (AZ)

Record details

NPI number1861494247
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2005
Last updated in NPPESMay 11, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Southwest I.D. And Medical Clinic, Lc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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