I-Spine, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

I-SPINE, LLC

Doing business as

Ortho & Sports Care
i-Spine Institute

Practice address

615 Fulmer Rd
Mishawaka, IN 46544-6911

Phone

(574) 252-2663

Fax

(574) 252-5940

NPI assigned

Apr 29, 2008

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madhu Rao, DO

Title

Ceo

Phone

(574) 252-2663

Specialties & licenses 2

Addresses

Other names 2

• Ortho & Sports Care Doing business as
• i-Spine Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• United Surgeons, LLC

  dba Unity Physicians Hospital

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1518197011

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13629/brand/5/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michele M Smith, FNP-BC

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1124215058
  Medicare reassignment Care Compare group NPD
• V Durga Madhusudana Murthy Rao, DO

  • Orthopaedic Surgery Physician
  • Mishawaka, IN
  • NPI 1487682167
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1255506309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FULMER RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465446911",
            "telephone_number": "574-252-2663",
            "fax_number": "574-252-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FULMER RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465446911",
            "telephone_number": "574-252-2663",
            "fax_number": "574-252-5940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Miller Dr Ste 113",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465638091",
            "country_code": "US",
            "telephone_number": "574-941-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I-SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-252-2663",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho & Sports Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "i-Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Dean Hummer, DC
• Dallas M Hunsberger, MD
• Julia Huynh, M.S. CFY-SLP
• Victoria Huyvaert
• Blessing Anu-Oluwapo I-Salami, DDS
• Dyana Yarely Ibarra Romero
• Icr Adolescents Operating Subsidiary, LLC
• Icr South Bend Operating Subsidiary, LLC
• Sandy Imanse, LMSW
• Nancy Nasilele Imasiku, MSN, APRN, FNP

• Orthopaedic Surgery Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.