Individual provider Active NPI

Elliot L Kleinman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Terre Haute, IN
National Provider Identifier
1003831538
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000448 Issued in IN
Practice address
1725 N 5TH St
Terre Haute, IN 47804-4010
Phone
(812) 232-0564
Fax
(812) 231-4757
NPI assigned
Jul 13, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000448 IN Primary

Addresses

Primary practice location

1725 N 5TH St
Terre Haute, IN 47804-4010

Mailing address

3760 S 4TH St
Terre Haute, IN 47802-5507
Phone (812) 234-3558

Other practice location 1

3760 S 4th St
Terre Haute, IN 47802-5507
Phone (812) 234-3558

Other identifiers 1

IdentifierTypeStateIssuer
200347350MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Foot and Ankle PC Foot & Ankle Surgery PastSince Jan 1, 2010 Accepting new patients
Prestige Foot & Ankle, PC Foot & Ankle Surgery PastSince Jun 29, 2025 Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1003831538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025507",
            "telephone_number": "812-234-3558",
            "fax_number": "812-232-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N 5TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044010",
            "telephone_number": "812-232-0564",
            "fax_number": "812-231-4757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3760 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478025507",
            "country_code": "US",
            "telephone_number": "812-234-3558",
            "fax_number": "812-232-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "ELLIOT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200347350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.