Bionic Prosthetics and Orthotics Group LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Valparaiso, IN
NPI 1285144352 · NPPES record last updated Oct 3, 2017
Key facts
- NPI
- 1285144352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
- Practice address
- 1101 Glendale Blvd Ste 105
Valparaiso, IN 46383-3769 - Phone
- (219) 791-9200
- Fax
- (219) 979-6775
- NPI assigned
- Oct 3, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Sumesh Saxena, C.P., BOCO
- Title
- President
- Phone
- (219) 791-9200
Corporate family (same tax ID) 32
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bionic Prosthetics and Orthotics GR |
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 | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180321002094 | IN | DME Supplier - Orthotic Personnel |
5890992523 | Practice locations: Valparaiso, IN |
National Provider Directory
- Tax ID family
- Bionic Prosthetics and Orthotics Group LLC
Locations
8695 Connecticut St
Ste E
Merrillville, IN 46410
Phone (219) 769-6363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
1101 Glendale Blvd Ste 105
Valparaiso, IN 46383-3769
Mailing address
8695 Connecticut St Ste E
Merrillville, IN 46410-6240
Phone (219) 791-9200
Other providers in Valparaiso, IN
- Nicole L Bihl
- Janet Anne Bilder
- Isabella Billegas
- Samantha Bilyak
- Diann C. Binns
- Bonnie Birgells
- Kalyn L Bisch
- Kelly Kristine Bishop Bohren
- Jessica L Bishop
- Susan L Bishop
All providers in Valparaiso, IN · Prosthetic/Orthotic Supplier in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.