AMAR CHAND JETTY MD
NPI 1124216080
Specialist in La Junta, CO
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
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Amar Jetty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lubbock, TX 79415
- Reassigned Medicare billing, Texas enrollment
- 452 clinicians in this Medicare group
Sunnyvale, TX 75182
- Reassigned Medicare billing, Texas enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Amar Jetty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amar Jetty reassigns Medicare benefits to 2 organizations: Health And Human Services Commission (Lubbock, TX) and Poppy Drive Inpatient Services PLLC (Sunnyvale, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amar Jetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Amar Chand Jetty, MD · NPI 1124216080
Specialist provider in La Junta, Colorado. Individual provider, active in the CMS NPPES registry since October 4, 2007.
## Identity
- **NPI:** 1124216080 (Entity type: Individual)
- **Enumerated:** October 4, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** DR45869 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 CARSON AVE, La Junta, CO 81050-2751
- **Phone:** (719) 383-5189 · **Fax:** (719) 383-6566
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Health And Human Services Commission (NPI 1649363326, Lubbock, TX); Poppy Drive Inpatient Services PLLC (NPI 1417379058, Sunnyvale, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** April 18, 2008
- **Other identifiers:** Medicare PIN C811439 (CO); Other DR-45869 (CO); Medicaid 13352857 (CO); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1124216080) · Data from the CMS NPPES public registry.