ERSTA PUTRA FERRYANTO (DPM) – Podiatrist, NPI 1588243984
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for ERSTA PUTRA FERRYANTO (DPM)
2200 WAUKEGAN RD STE FGH
GLENVIEW, IL 600251759
Phone: (847) 558-7670
Fax: (888) 202-3110
Type: Mailing
370 RONAN AVE
GILROY, CA 950207221
Phone: (678) 549-6468
Type: Mailing
2900 N LAKE SHORE DR
CHICAGO, IL 606575640
Phone: (773) 665-6730
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,653.
Total Amount is formed as General ($1,653) + Research ($0) + Ownership ($0) = $1,653.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Stryker Corporation ($363).
Total Amount
$1,653
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,653
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $363 |
| Linvatec Corporation | $348 |
| Integra LifeSciences Corporation | $331 |
| Organogenesis Inc. | $125 |
| ABBVIE INC. | $122 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240801001344 | I | Podiatry | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60025)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OH | |
| P O D I A T R Y | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.