Ajitkumar Jetmalani, MD
NPI 1104994920 · Child & Adolescent Psychiatry Physician · Portland, OR
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ajitkumar Jetmalani, MD is a Child & Adolescent Psychiatry Physician provider in Portland, OR (NPI 1104994920).
Provider details
- NPI number
- 1104994920
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD15652 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Hydroxyzine Pamoate | 16 |
| Quetiapine Fumarate | 15 |
| Dextroamphetamine/Amphetaminebrand: Adderall Xr | 13 |
| Olanzapine | 13 |
| Clonazepam | 11 |
| Methylphenidate Hclbrand: Concerta | 11 |
| Escitalopram Oxalate | 11 |
| Lurasidone Hcl | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2018-12-11
Frequently asked questions
- What is Ajitkumar Jetmalani's NPI number?
- Ajitkumar Jetmalani's National Provider Identifier (NPI) is 1104994920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ajitkumar Jetmalani's specialty?
- Ajitkumar Jetmalani is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Ajitkumar Jetmalani located?
- Ajitkumar Jetmalani's practice location on file with NPPES is 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011.
- What is Ajitkumar Jetmalani's phone number?
- The practice phone number listed in the NPPES registry for Ajitkumar Jetmalani is (503) 494-6176.
- Does Ajitkumar Jetmalani accept Medicare?
- Ajitkumar Jetmalani is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ajitkumar Jetmalani's NPI active?
- Yes — Ajitkumar Jetmalani's NPI (1104994920) is active in the NPPES registry as of the last update on 2018-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.