Individual provider Active NPI

Asiya Ansari, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lafayette, IN
National Provider Identifier
1245677194
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2012027312 Issued in MO
Practice address
1345 Unity PL Ste 225
Lafayette, IN 47905-5762
Phone
(765) 449-2436
Fax
(765) 449-1817
NPI assigned
Jun 2, 2013
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 2012027312 MO Primary

Addresses

Primary practice location

1345 Unity PL Ste 225
Lafayette, IN 47905-5762

Mailing address

PO Box 4699
Lafayette, IN 47903-4699
Phone (765) 449-2732

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asiyaansari@idx.allscriptsdirect.net

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912001626 IN Practitioner - Podiatry 7517276041

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, shared by 5 NPIs, 62 clinicians

Practice addresses (Care Compare)

1345 Unity PL
Suite 225
Lafayette, IN 47905-5762
Phone (765) 449-2436

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue107
Removal of skin lesions1-10
Removal of nail tissue503
Removal or shaving of skin growth188
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2182TXMDSpecialist
2012027312MOMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare LLC CurrentSince Aug 26, 2019 Accepting new patients
Unity Healthcare, LLC Foot & Ankle Surgery Current Accepting new patients
Unity Healthcare, LLC Foot & Ankle Surgery CurrentSince Aug 26, 2019 Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

1345 Unity Pl
Ste 225
Lafayette, IN 47905
Phone (765) 449-2436

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

Interoperability endpoints

  • Direct secure messaging: aansari2@direct.iuhealth.org
  • Direct secure messaging: aansari490994@direct.franciscanalliance.org
  • Direct secure messaging: asiya.ansari@1333.chartlogic.direct-ci.com
  • Direct secure messaging: asiyaansari@idx.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1245677194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4699",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479034699",
            "telephone_number": "765-449-2732",
            "fax_number": "765-449-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 UNITY PL STE 225",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055762",
            "telephone_number": "765-449-2436",
            "fax_number": "765-449-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "ASIYA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-02",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "2012027312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asiyaansari@idx.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1345 Unity Pl Ste 225",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479055762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.