JETTY HEART CLINIC
NPI 1205013653
Internal Medicine - Cardiovascular Disease in Anderson, IN

Q: What is Jetty Heart Clinic's NPI number?

The NPI number for Jetty Heart Clinic is 1205013653. It was assigned to this organization in the NPPES registry on January 29, 2008.

Q: What is Jetty Heart Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since January 29, 2008

1210 B MEDICAL ARTS BOULEVARD, SUITE 217, ANDERSON, IN 46011(765) 298-4422(765) 298-4926 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jetty Heart Clinic NPPES

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

JETTY HEART CLINIC (NPI 1205013653) is a healthcare organization registered as a cardiovascular disease in Anderson, Indiana and active in the NPI registry since January 2008. The organization lists Preetham Jetty, Owner, as its authorized official.

NPPES Registry Identity

NPI1205013653

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameJETTY HEART CLINIC

Location Address1210 B MEDICAL ARTS BOULEVARD, SUITE 217Anderson, IN 46011-3439

Mailing Address1210 B Medical Arts Boulevard, Suite 217Anderson, IN 46011-3439 · (765) 298-4422 · Fax (765) 298-4926

Phone(765) 298-4422

Fax(765) 298-4926

Organization SubpartNo

Authorized OfficialPreetham JettyOwner · (765) 298-4422

Enumeration DateJanuary 29, 2008

Last NPPES UpdateOctober 23, 2008

✔ NPI 1205013653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 01040154A

Definition

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.

1210 B MEDICAL ARTS BOULEVARD, Anderson, IN 46011

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Other Identifiers 2

Medicaid200886890IN

Medicare PIN257870IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jetty Heart Clinic's NPI number?

The NPI number for Jetty Heart Clinic is 1205013653. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Jetty Heart Clinic located?

Jetty Heart Clinic is located at 1210 B Medical Arts Boulevard Suite 217, Anderson, IN 46011. The listed phone number is (765) 298-4422.

What is Jetty Heart Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jetty Heart Clinic was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.