Robert A Amazon, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000976A Issued in IN

Practice address

484 E Carmel Dr
Suite 207
Carmel, IN 46032-2812

Phone

(317) 727-8978

Fax

(317) 575-1702

NPI assigned

Oct 2, 2006

Last updated

Sep 20, 2013By 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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1053404046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E CARMEL DR",
            "address_2": "SUITE 207",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322812",
            "telephone_number": "317-727-8978",
            "fax_number": "317-575-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 E CARMEL DR",
            "address_2": "SUITE 207",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322812",
            "telephone_number": "317-727-8978",
            "fax_number": "317-575-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAZON",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000976A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000319438",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200439860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith A Alvarez, D.D.S.
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• American Health Network of Indiana,
• American Health Network of Indiana, LLC
• American Health Network of Indiana, LLC

• Podiatrist in Carmel, IN
• Providers in Carmel, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.