Organization Active NPI

Indiana Regional Foot & Ankle Center PC

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1316097041
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000908A Issued in IN
Legal business name
INDIANA REGIONAL FOOT & ANKLE CENTER PC
Practice address
8060 Madison Ave Ste a
Indianapolis, IN 46227-6002
Phone
(317) 882-0256
Fax
(317) 882-0258
NPI assigned
Jan 12, 2007
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Paul Franklin Cain, DPMNPI 1902834849
Title
Owner/Physician
Phone
(317) 882-0256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07000908A IN Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000908A IN

Addresses

Primary practice location

8060 Madison Ave Ste a
Indianapolis, IN 46227-6002

Mailing address

8060 Madison Ave Ste a
Indianapolis, IN 46227-6002
Phone (317) 882-0256

Other identifiers 1

IdentifierTypeStateIssuer
200350340AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100816000614 IN Part B Supplier - Clinic/Group Practice 3173657962 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN; Kokomo, IN

National Provider Directory

National Provider Directory

Locations

7800 Shelby St
Ste 3
Indianapolis, IN 46227
Phone (317) 882-0256

8060 Madison Ave
#A
Indianapolis, IN 46227
Phone (317) 882-0256

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1316097041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 MADISON AVE STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276002",
            "telephone_number": "317-882-0256",
            "fax_number": "317-882-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 MADISON AVE STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462276002",
            "telephone_number": "317-882-0256",
            "fax_number": "317-882-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA REGIONAL FOOT & ANKLE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "317-882-0256",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000908A",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000908A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350340A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.