Active NPI
Gage Manning Caudell, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001098A
- Practice address
- 7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133 - Phone
- (260) 436-8686
- Fax
- (260) 436-8585
- NPI assigned
- Mar 17, 2008
- Last updated
- Nov 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001098A | IN | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 36003452 | OH |
Addresses
Primary practice location
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Mailing address
PO Box 2526
Fort Wayne, IN 46801-2526
Phone (260) 436-8686
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200993700 | Medicaid | IN | |
| P00818539 | Other | RAILROAD | |
| 000000646353 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10106 Dupont Circle Dr E
Suite 150
Fort Wayne, IN 46825-1640
Phone (800) 566-5659
7601 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 436-8686
7619 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Hospital & facility affiliations
- The Orthopaedic Hospital of Lutheran Health Networ
- Lutheran Hospital of Indiana
- Dupont Hospital LLC
- St Joseph Health System, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.85 of 100
- Promoting interoperability
- 81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003452 | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients | |
| Fort Wayne Orthopaedics LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Fort Wayne Orthopaedics, LLC | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Current | Accepting new patients |
Locations
1316 E 7th St
Ste 2
Auburn, IN 46706
Phone (260) 927-0035
820 Smaltz Way
Ste B
Auburn, IN 46706
Phone (260) 432-1800
1100 S Main St
Bluffton, IN 46714
Phone (219) 824-3210
303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800
10106 DuPont Circle Dr E
Ste 150
Fort Wayne, IN 46825
2512 E DuPont Rd
Ste 110
Fort Wayne, IN 46825
Phone (260) 434-6076
7601 W Jefferson Blvd
Fort Wayne, IN 46804
Phone 26043686864254
4900 Beaner Blvd
Gas City, IN 46933
Phone (765) 573-0725
8450 Northwest Blvd
Indianapolis, IN 46278
1700 Alber St
Wabash, IN 46992
Phone (260) 563-9405
3171 E Center Street Ext
Ste 75
Warsaw, IN 46582
701 Orthopaedic Dr
Ste 120
Warsaw, IN 46582
208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692
Interoperability endpoints
- gage.caudelldpm.p1@direct.fwortho.nextgenshare.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1497758429
Foot & Ankle Surgery, OH
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
-
- Durable Medical Equipment & Medical Supplies
- Gas City, IN
- NPI 1699425082
-
dba Orthoindy
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
dba OrthoIndy-Fishers
- Orthopaedic Surgery Physician
- Fishers, IN
- NPI 1821180100
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
-
dba Lutheran Downtown Hospital
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1023060472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1013188291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2526",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468012526",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044133",
"telephone_number": "260-436-8686",
"fax_number": "260-436-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUDELL",
"first_name": "GAGE",
"middle_name": "MANNING",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001098A",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "36003452",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200993700",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00818539",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000646353",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
- Jeryl Cates
- Catherine Jantzen, LLC
- Catholic Charities of the Diocese of Fort Wayne-South Bend (Catholic Charities)
- Catholic Charities of the Diocese of Fort Wayne-South Bend, Inc. (Catholic Charities)
- Allison H Caudell, RPH
- Amy S Caudill, RN
- Jared Caudill, RN
- Micaiah J Caudill
- Raven Katarah Caudill
- Ella Angelique D Causey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.