Organization Active NPI

American Limb & Orthopedic Co.

  • Prosthetic/Orthotic Supplier
  • Elkhart, IN
National Provider Identifier
1265567283
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
AMERICAN LIMB & ORTHOPEDIC CO.
Practice address
3614 S Nappanee St
Ste 124
Elkhart, IN 46517-9608
Phone
(574) 522-3643
Fax
(574) 389-1008
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mr. Norbert Fliess, CP
Title
President
Phone
(574) 287-3767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X IN
Prosthetic/Orthotic Supplier 335E00000X IN Primary

Addresses

Primary practice location

3614 S Nappanee St
Ste 124
Elkhart, IN 46517-9608

Mailing address

3614 S Nappanee St
Ste 124
Elkhart, IN 46517-9608
Phone (574) 522-3643

Other identifiers 2

IdentifierTypeStateIssuer
100278250AMedicaidIN
100278250MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930062918 IN DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 2264559715 Practice locations: Elkhart, IN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
American Limb & Orthopedic Co3614 S Nappanee St, Elkhart, IN 46517-9608(574) 522-3643 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
American Limb Orthopedic Co3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1265567283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 S NAPPANEE ST",
            "address_2": "STE 124",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179608",
            "telephone_number": "574-522-3643",
            "fax_number": "574-389-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 S NAPPANEE ST",
            "address_2": "STE 124",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179608",
            "telephone_number": "574-522-3643",
            "fax_number": "574-389-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN LIMB & ORTHOPEDIC CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "FLIESS",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-287-3767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100278250A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100278250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.