Ersta Putra Ferryanto, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016006049 Issued in IL

Practice address

2200 Waukegan Rd Ste FGH
Glenview, IL 60025-1759

Phone

(847) 558-7670

Fax

(888) 202-3110

NPI assigned

Apr 5, 2021

Last updated

Feb 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Active Health PLLCGroup PAC ID 2860841020, 2 clinicians

Performance Podiatry Partners, LLCGroup PAC ID 1951662121, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
• Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elevate Active Health PLLC

  • Foot & Ankle Surgery Podiatrist
  • Glenview, IL
  • NPI 1164296224

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Performance Podiatry Partners, LLC

  • Sports Medicine Podiatrist
  • Chicago, IL
  • NPI 1265942080

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation
• Presence Chicago Hospitals Network

  dba Presence Saint Joseph Hospital-Chicago

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1679659585
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1588243984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WAUKEGAN RD STE FGH",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251759",
            "telephone_number": "847-558-7670",
            "fax_number": "888-202-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WAUKEGAN RD STE FGH",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251759",
            "telephone_number": "847-558-7670",
            "fax_number": "888-202-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRYANTO",
        "first_name": "ERSTA",
        "middle_name": "PUTRA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarzyna Fergemann, M.A. LPC
• Zaida Fernandez
• Darbie Anne Ferrara-Mathys, PHYSICAL THERAPY
• Morgan Elyse Ferris-Johnston, PSYD, MS
• Brittney Tayler Ferrone, DPT
• Fertility Centers of Illinois
• Meghan Feurer, M.S. CCC-SLP
• Thomas Ficho, M.D., PH.D.
• Darin Robert Fields
• Robert Mitchell Figura, D.O.

• Podiatrist in Glenview, IL
• Providers in Glenview, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.