Individual provider Active NPI

Thomas Kenneth Hupfer, DPM

  • Foot Surgery Podiatrist
  • Evansville, IN
National Provider Identifier
1104862820
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
07000766A Issued in IN
Practice address
3700 Bellemeade Ave
Suite 117
Evansville, IN 47714-0106
Phone
(812) 475-8900
Fax
(812) 475-0024
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 07000766A IN Primary

Addresses

Primary practice location

3700 Bellemeade Ave
Suite 117
Evansville, IN 47714-0106

Mailing address

PO Box 15454
Evansville, IN 47716-0454
Phone (812) 475-8900

Other identifiers 2

IdentifierTypeStateIssuer
100121220MedicaidIN
7338450001OtherINDME

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
I20060426000685 IN Practitioner - Podiatry 7113937780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1139 Washington SQ
Evansville, IN 47715-6810
Phone (812) 475-8900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of nail tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000766AINMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Parmore Medical Services LLC Foot Surgery CurrentSince Jul 9, 2014 Accepting new patients
Two Indiana Foot, L.L.C. Foot Surgery PastSince Jun 1, 2009 Accepting new patients

Locations

1139 Washington Sq
Evansville, IN 47715
Phone (812) 475-8900

3700 Bellemeade Ave
Ste 117
Evansville, IN 47714
Phone (812) 475-8900

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1104862820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15454",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477160454",
            "telephone_number": "812-475-8900",
            "fax_number": "812-475-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE",
            "address_2": "SUITE 117",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140106",
            "telephone_number": "812-475-8900",
            "fax_number": "812-475-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPFER",
        "first_name": "THOMAS",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000766A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100121220",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "7338450001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.