Active NPI
Elliot L Kleinman, DPM
- Foot & Ankle Surgery Podiatrist
- Terre Haute, IN
National Provider Identifier
1003831538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000448
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200347350 | Medicaid | IN |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestige Foot and Ankle PC | Foot & Ankle Surgery | Past | Accepting new patients |
| Prestige Foot & Ankle, PC | Foot & Ankle Surgery | Past | 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.
-
dba Regional Foot and Ankle Center
- Primary Podiatric Medicine Podiatrist
- Terre Haute, IN
- NPI 1114942158
-
dba Prestige Podiatry
- Foot & Ankle Surgery Podiatrist
- Carmel, IN
- NPI 1235477233
-
dba Prestige Podiatry
- Foot & Ankle Surgery Podiatrist
- Carmel, IN
- NPI 1053648824
-
- Specialist
- Terre Haute, IN
- NPI 1316958549
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.