NPIMap

Organization Active NPI

Kathleen Toepp Neuhoff, DPM, LLC

  • Podiatrist
  • South Bend, IN
National Provider Identifier
1154838498
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000788 Issued in IN
Legal business name
KATHLEEN TOEPP NEUHOFF, DPM, LLC
Practice address
727 E Jefferson Blvd
South Bend, IN 46617-2902
Phone
(574) 287-5859
Fax
(574) 287-4987
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Kathleen Toepp Neuhoff, DOMNPI 1063412526
Title
Sole Owner
Phone
(574) 287-5859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 07000788 IN Primary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 07000788 IN
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 07000788 IN

Addresses

Primary practice location

727 E Jefferson Blvd
South Bend, IN 46617-2902

Mailing address

727 E Jefferson Blvd
South Bend, IN 46617-2902
Phone (574) 287-5859

Other names 1

  • Family Foot Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109001859 IN Part B Supplier - Clinic/Group Practice 7113286667 Receives reassigned benefits from 1 practitioner
Practice locations: South Bend, IN

National Provider Directory

National Provider Directory

Locations

727 E Jefferson Blvd
South Bend, IN 46617
Phone (219) 287-5859

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1154838498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172902",
            "telephone_number": "574-287-5859",
            "fax_number": "574-287-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172902",
            "telephone_number": "574-287-5859",
            "fax_number": "574-287-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN TOEPP NEUHOFF, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "NEUHOFF",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "TOEPP",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "574-287-5859",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000788",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000788",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "IN",
            "license": "07000788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Foot Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Foot Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.