Individual provider Active NPI

Niels W Ladine, DPM

  • Podiatrist
  • New Castle, IN
National Provider Identifier
1023061991
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000966A Issued in IN
Practice address
3221 S Memorial Dr
Suite C
New Castle, IN 47362-1123
Phone
(765) 529-5300
Fax
(765) 593-0743
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000966A IN Primary

Addresses

Primary practice location

3221 S Memorial Dr
Suite C
New Castle, IN 47362-1123

Mailing address

8651 Township Line Rd
Indianapolis, IN 46260-1578
Phone (317) 931-0664

Other identifiers 1

IdentifierTypeStateIssuer
200441030MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20080319000570 IN Practitioner - Podiatry 8123104965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladine Podiatry PCGroup PAC ID 5395821136, 3 clinicians

Practice addresses (Care Compare)

3221 S Memorial Dr C
New Castle, IN 47362-1173
Phone (765) 529-5300

Hospital & facility affiliations

  • Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
68.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue433
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000966AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ladine Podiatry, PC Podiatrist CurrentSince Apr 1, 2008 Accepting new patients
Ladine Podiatry PC Podiatrist CurrentSince Apr 1, 2008 Accepting new patients

Locations

13421 Old Meridian St
Ste 202
Carmel, IN 46032
Phone (317) 770-1700

8433 Harcourt Rd
Ste 210
Indianapolis, IN 46260
Phone (317) 876-7361

3221 S Memorial Dr
Ste C
New Castle, IN 47362
Phone (765) 529-5300

Interoperability endpoints

  • Direct secure messaging: nladine@lpp-in.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1023061991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 TOWNSHIP LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601578",
            "telephone_number": "317-931-0664",
            "fax_number": "317-931-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 S MEMORIAL DR",
            "address_2": "SUITE C",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473621123",
            "telephone_number": "765-529-5300",
            "fax_number": "765-593-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADINE",
        "first_name": "NIELS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000966A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.