JETTY HEART CLINIC
NPI 1205013653
Internal Medicine - Cardiovascular Disease in Anderson, IN
NPI Status: Active since January 29, 2008
Contact Information
1210 B MEDICAL ARTS BOULEVARD
SUITE 217
ANDERSON, IN
ZIP 46011
Phone: (765) 298-4422
Fax: (765) 298-4926
- Organization
- Internal Medicine
- Cardiovascular Disease
About JETTY HEART CLINIC
This page provides the complete NPI Profile along with additional information for Jetty Heart Clinic, an internist established in Anderson, Indiana operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1205013653 assigned on January 2008. The practitioner's primary taxonomy code is 207RC0000X with license number 01040154A (IN). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Preetham Jetty Md (Owner)
- NPI
- 1205013653
- Provider Name
- JETTY HEART CLINIC
- Entity Type
- Organization
- Location Address
- 1210 B MEDICAL ARTS BOULEVARD SUITE 217 ANDERSON, IN 46011
- Location Phone
- (765) 298-4422
- Location Fax
- (765) 298-4926
- Mailing Address
- 1210 B MEDICAL ARTS BOULEVARD SUITE 217 ANDERSON, IN 46011
- Mailing Phone
- (765) 298-4422
- Mailing Fax
- (765) 298-4926
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-29-2008
- Last Update Date
- 10-23-2008
- Code Navigator
An internist like Jetty Heart Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01040154A
- License State
- IN
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200886890 | MEDICAID (05) | IN | |
| 257870 | MEDICARE PIN (08) | IN |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205013653, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205013653, enumerated as an "organization" on January 29, 2008.
The provider is located at 1210 B MEDICAL ARTS BOULEVARD SUITE 217 ANDERSON, IN 46011 and the phone number is (765) 298-4422.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
