Active NPI
American Limb & Orthopedic Co.
- Prosthetic/Orthotic Supplier
- Elkhart, IN
National Provider Identifier
1265567283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100278250A | Medicaid | IN | |
| 100278250 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930062918 | IN | DME Supplier - Prosthetic 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| American Limb & Orthopedic Co | 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 assignment |
National Provider Directory
National Provider Directory- Tax ID family
- American Limb Orthopedic Co
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- South Bend, IN
- NPI 1780681288
-
- Prosthetic/Orthotic Supplier
- Valparaiso, IN
- NPI 1982739991
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.