Look up the most recent NPI and PECOS records

Varun Shetty

Internal Medicine

Allopathic & Osteopathic Physicians

1645 W Jackson Blvd, Chicago, IL 60612-3276

PECOS Enrollment

Based on the most recent information from CMS, provider Varun Shetty is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1720493778
Provider Type
Individual
Full Name
Shetty, Varun
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/29/2014
Last Updated
1/4/2017

Contact Information

Practice Location

1645 W Jackson Blvd, Chicago, IL 60612-3276

(312) 942-8000

Unlisted Fax

Mailing Location

1653 W Congress Pkwy, Chicago, IL 60612-3833

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 125-065906 Illinois

Varun Shetty

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Warraich, Muhammad Sheharyar

Ashimi, Rashidat A

Mohammed, Abdul

Velazquez Romero, Genaro

Jung, Minki

Monterubianesi, Lorena Alejandra

Smith, Patrika Lecanda

Arikawa, Kinji

Zarza, Patricia

Zavala, Gilberto