AMAR CHAND JETTY MD
NPI 1124216080
Specialist in La Junta, CO

Active since October 04, 2007PECOS EnrolledAccepts Medicare Assignment
1100 CARSON AVE, LA JUNTA, CO 81050(719) 383-5189(719) 383-6566 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amar Chand Jetty Md NPPES

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

AMAR CHAND JETTY MD (NPI 1124216080) is an individual specialist in La Junta, Colorado, licensed in Colorado (DR45869) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1124216080
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameAMAR CHAND JETTYCredential: MD
Location Address1100 CARSON AVELa Junta, CO 81050-2751
Mailing Address1100 Carson AveLa Junta, CO 81050-2751 · (719) 383-5189 · Fax (719) 383-6566
Fax(719) 383-6566
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 4, 2007
Last NPPES UpdateApril 18, 2008
NPI 1124216080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CO · DR45869
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1100 CARSON AVE, La Junta, CO 81050

Other Identifiers 4

Medicare PINC811439CO
OtherDR-45869CO · State License
Medicaid13352857CO
OtherP00452978CO · Railroad Medicare

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

Amar Chand Jetty Md 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 ID2264514876
PECOS Enrollment IDI20140307001453
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services13 patients

Other Providers at the Same Location NPPES 20

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

Family Medicine
1100 CARSON AVE
LA JUNTA, CO 81050
Clinic/Center (VA)
1100 CARSON AVE, SUITE 204
LA JUNTA, CO 81050
Pharmacist
1100 CARSON AVE, DEPT OF PHARMACY
LA JUNTA, CO 81050
Nurse Practitioner (Acute Care)
1100 CARSON AVE
LA JUNTA, CO 81050
Medicare Defined Swing Bed Unit
1100 CARSON AVE
LA JUNTA, CO 81050
Physical Therapist
1100 CARSON AVE
LA JUNTA, CO 81050
Clinic/Center (Radiology)
1100 CARSON AVE
LA JUNTA, CO 81050
Surgery
1100 CARSON AVE
LA JUNTA, CO 81050

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 Amar Jetty's NPI number?

The NPI number for Amar Jetty is 1124216080. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Amar Jetty located?

Amar Jetty practices at 1100 Carson Ave, La Junta, CO 81050. The listed phone number is (719) 383-5189.

What is Amar Jetty's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Amar Jetty enrolled in Medicare?

Yes. Amar Jetty 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.

When was this NPI record last updated?

The NPPES record for Amar Jetty was last updated on April 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.