Monticello Podiatry LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

#07001110A Issued in IN

Legal business name

MONTICELLO PODIATRY LLC

Practice address

101 W Broadway St
Monticello, IN 47960-2110

Phone

(765) 420-2850

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Murtuza Peerbhai, DPMNPI 1740316124

Title

Principal

Phone

(765) 420-2850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Murtuza A. Peerbhai, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monticello, IN
  • NPI 1740316124
  Medicare reassignment NPD Authorized official
• Julian Y Ungar-Sargon, M.D., PHD

  • Neurology Physician
  • Rensselaer, IN
  • NPI 1376642900

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1154626661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROADWAY",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "47960",
            "telephone_number": "765-420-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602110",
            "telephone_number": "765-420-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "PEERBHAI",
        "authorized_official_first_name": "MURTUZA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "765-420-2850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IN",
            "license": "#07001110A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee Miller
• William J Misenheimer, D.C.
• Monticello Eye Center, P.C.
• Monticello Medical Center, LLC
• Monticello Medical Center, LLC
• Monticello Podiatry LLC
• Monticello Women'S Clinic
• Shanda Mossholder
• Sharon D Musall, ANP
• Kain T Myer, OD

• Multi-Specialty Clinic/Center in Monticello, IN
• Providers in Monticello, IN by specialty
• Multi-Specialty Clinic/Center 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.