Jeffrey D Agricola, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

07000947A Issued in IN

Practice address

277 E Carmel Dr
Ste D
Carmel, IN 46032-2609

Phone

(317) 846-4111

Fax

(317) 846-1767

NPI assigned

Jun 28, 2005

Last updated

Apr 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Prestige Foot and Ankle PC

  dba Prestige Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Carmel, IN
  • NPI 1053648824
  Medicare reassignment Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1154327740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 GUION ROAD",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227604",
            "telephone_number": "317-931-0661",
            "fax_number": "317-927-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 E CARMEL DR",
            "address_2": "STE D",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322609",
            "telephone_number": "317-846-4111",
            "fax_number": "317-846-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRICOLA",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000947A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200409540",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manisha Agarwala, MD
• Josephine Agbayani
• Winston Agbayani, PT
• Benedict Agbiboa, PTA
• Patrice Agbiboa, SLP
• Deanna Aguilar-Hernandez
• Rhea Jane Agustin
• Nolan Ahearn
• Ashley Manternach Ahmad, DNP-C
• Shahjehan Ahmad, MD, MPH

• Foot & Ankle Surgery Podiatrist in Carmel, IN
• Providers in Carmel, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.
• 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.

Verify at the official NPI Registry.