Individual provider Active NPI

Matthew W. Dinnon, DPM

  • Foot & Ankle Surgery Podiatrist
  • White Pigeon, MI
National Provider Identifier
1174505804
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000903A Issued in IN
Practice address
68223 Edgewater Beach Rd
White Pigeon, MI 49099-8761
Phone
(574) 574-5921
NPI assigned
Nov 17, 2005
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000903A IN Primary

Addresses

Primary practice location

68223 Edgewater Beach Rd
White Pigeon, MI 49099-8761

Mailing address

68223 Edgewater Beach Rd
White Pigeon, MI 49099-8761
Phone (574) 574-5921

Other identifiers 1

IdentifierTypeStateIssuer
200295770MedicaidIN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000337 IN Practitioner - PodiatryPractitioner - Orthopedic Surgery 1557498243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Orthopedic Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

53880 Carmichael Dr
South Bend, IN 46635-1567
Phone (317) 455-1064

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
64.48
Promoting interoperability
96
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue31
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000903AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics LLC CurrentSince Aug 1, 2023 Accepting new patients
Central Indiana Orthopedics, LLC CurrentSince Aug 1, 2023 Accepting new patients
Podiatric Medical Associates PC Foot & Ankle Surgery Past Accepting new patients
Northern Indiana Foot & Ankle Assoc Inc Foot & Ankle Surgery Past Accepting new patients

Locations

900 I St
Laporte, IN 46350
Phone (219) 324-1670

60160 Bodnar Blvd
Mishawaka, IN 46544
Phone (574) 247-2790

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

2349 Lake Ave
Ste 201
Plymouth, IN 46563
Phone (574) 540-2500

53880 Carmichael Dr
South Bend, IN 46635
Phone (574) 234-1159

Interoperability endpoints

  • Direct secure messaging: matthew.dinnon.3@13070.direct.athenahealth.com
  • Direct secure messaging: mdinnon1161490@direct.trinity-health.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1174505804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68223 EDGEWATER BEACH RD",
            "city": "WHITE PIGEON",
            "state": "MI",
            "postal_code": "490998761",
            "telephone_number": "574-574-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68223 EDGEWATER BEACH RD",
            "city": "WHITE PIGEON",
            "state": "MI",
            "postal_code": "490998761",
            "telephone_number": "574-574-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNON",
        "first_name": "MATTHEW",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000903A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200295770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Pigeon, MI

Sources for this page

Verify at the official NPI Registry.