David A Porter, MD
Individual provider Active NPI Orthopaedic Foot and Ankle Surgery Physician · Carmel, IN
NPI 1194771501 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1194771501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
- License
- 01038677A (IN)
- Practice address
- 10767 Illinois St Ste 3000
Carmel, IN 46032-8972 - Phone
- (317) 817-1200
- Fax
- (317) 817-1220
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Indiana University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thomas a Brady Sports Medicine Center, PC
Practice addresses (Care Compare)
10767 Illinois St
Carmel, IN 46032-8972
Phone (317) 817-1200
1401 W County Line Rd
Methodist Sports Medicine
Greenwood, IN 46142-5195
Phone (317) 817-1200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100113000763 | IN | Practitioner - Orthopedic Surgery | 7911082557 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038677A | IN | MD | Orthopaedic Surgery Physician |
| 1038677A | IN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas a Brady Sports Medicine Center, PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Thomas a Brady Sports Medicine Center, PC | Orthopaedic Surgery | Current |
Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
10767 Illinois St
Ste 3000
Carmel, IN 46032
Phone (317) 708-6858
201 Pennsylvania Pkwy
Ste 100
Carmel, IN 46280
Phone (317) 817-1636
1401 W County Line Rd
Greenwood, IN 46142
Phone (317) 217-1200
900 N John R Wooden Dr
West Lafayette, IN 47907
Phone (765) 494-3245
Interoperability endpoints
- dporter404844@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 1038677A | IN | |
| Orthopaedic Surgery Physician | 207X00000X | 01038677A | IN | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 01038677A | IN | Yes |
Addresses
Primary practice location
10767 Illinois St Ste 3000
Carmel, IN 46032-8972
Mailing address
10767 Illinois St Ste 3000
Carmel, IN 46032-8972
Phone (317) 817-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200161470A | Medicaid | IN | |
| 200034164 | Other | IN | RR MEDICARE |
Other providers in Carmel, IN
- Kylene Ann Polhamus
- Valerie Lynn Polley
- Kelly Pollock
- Carolyn M. Ponder
- Narmada Popuri
- Positive ABA Solutions, LLC.
- Positive Pathways Counseling and Consulting, LLC
- Posterity Men'S Health, P.C.
- Bria Potter
- Jordan Kaylee Potter
All providers in Carmel, IN · Orthopaedic Foot and Ankle Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.