ISHANI JETTY DPM
NPI 1861136426
Podiatrist - Foot & Ankle Surgery in Chicago, IL

Q: What is Ishani Jetty's NPI number?

The NPI number for Ishani Jetty is 1861136426. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Ishani Jetty's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Ishani Jetty was last updated on January 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2022PECOS Enrolled

836 W WELLINGTON AVE, CHICAGO, IL 60657(773) 975-1600 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2024, Jul 10, 2022, Apr 20, 2022 (3 updates tracked since 2022).

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About Ishani Jetty Dpm NPPES

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

ISHANI JETTY DPM (NPI 1861136426) is an individual foot & ankle surgery provider in Chicago, Illinois, licensed in Illinois (135001154) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861136426

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameISHANI JETTYCredential: DPM

Location Address836 W WELLINGTON AVEChicago, IL 60657-5147

Mailing Address836 W Wellington AveChicago, IL 60657-5147 · (773) 975-1600

Phone(773) 975-1600

Sole ProprietorYes

Enumeration DateApril 20, 2022

Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2024

✔ NPI 1861136426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 135001154

836 W WELLINGTON AVE, Chicago, IL 60657

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ishani Jetty Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.