Individual provider Active NPI

Chad Michael Nunamaker, DPM

  • Podiatrist
  • Jasper, IN
National Provider Identifier
1255376364
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000829 Issued in IN
Practice address
645 W 5TH St
Jasper, IN 47546-3172
Phone
(812) 634-2778
Fax
(812) 634-2909
NPI assigned
Jun 20, 2006
Last updated
Feb 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000829 IN Primary

Addresses

Primary practice location

645 W 5TH St
Jasper, IN 47546-3172

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 2

IdentifierTypeStateIssuer
200978290MedicaidIN
000000205809OtherINANTHEM

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
I20120612000383 IN Practitioner - Podiatry 1850555483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patoka Valley Podiatry PCGroup PAC ID 2961582655, 4 clinicians

Practice addresses (Care Compare)

645 W 5TH St
Jasper, IN 47546-3172
Phone (812) 634-2778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.3 of 100Reported as individual
Quality
60.61
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1492
Removal or shaving of skin growth973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07000700INMDPodiatrist
07000829INMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Patoka Valley Podiatry P.C. Podiatrist CurrentSince Jan 1, 2000 Accepting new patients

Locations

5010 Davis Lant Dr
Ste 1
Evansville, IN 47715
Phone (812) 401-5040

645 W 5th St
Jasper, IN 47546
Phone (812) 634-2778

Organizations & group practices 1

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 1

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1255376364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 W 5TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463172",
            "telephone_number": "812-634-2778",
            "fax_number": "812-634-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNAMAKER",
        "first_name": "CHAD",
        "middle_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200978290",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000205809",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.