Individual provider Active NPI

Austin Roy Muranaka, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Vincennes, IN
National Provider Identifier
1316219819
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
41000233A Issued in IN
Practice address
202 Broadway St
Vincennes, IN 47591-1228
Phone
(812) 882-3312
Fax
(812) 882-6181
NPI assigned
Jan 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 41000233A IN Primary

Addresses

Primary practice location

202 Broadway St
Vincennes, IN 47591-1228

Mailing address

202 Broadway St
Vincennes, IN 47591-1228
Phone (812) 882-3312

Other practice location 1

328 N 2nd St Ste 205
Vincennes, IN 47591-1353
Phone (812) 882-3312

Other identifiers 2

IdentifierTypeStateIssuer
000000772884OtherINANTHEM
201076110MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000808 IN Practitioner - Podiatry 2163688144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2005 State St
Suite a
Washington, IN 47501-8559
Phone (812) 254-4650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue247
Removal of skin lesions12
Removal of nail tissue582
Removal or shaving of skin growth220
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41000233AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital CurrentSince Jul 16, 2012 Accepting new patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Jul 16, 2012 Accepting new patients
Good Samaritan Hospital Physician Services, Inc Current Accepting new patients
Good Samaritan Hospital Physician Services Inc. Past Accepting new patients

Locations

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

328 N 2nd St
Ste 202
Vincennes, IN 47591

328 N 2nd St
Ste 205
Vincennes, IN 47591
Phone (812) 882-1000

202 Broadway St
Vincennes, IN 47591
Phone (812) 882-3312

2005 State St
Ste A
Washington, IN 47501
Phone (812) 254-4650

Interoperability endpoints

  • Direct secure messaging: amuranaka40427@direct.deaconess.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1316219819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BROADWAY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911228",
            "telephone_number": "812-882-3312",
            "fax_number": "812-882-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BROADWAY ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911228",
            "telephone_number": "812-882-3312",
            "fax_number": "812-882-6181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 N 2nd St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911353",
            "country_code": "US",
            "telephone_number": "812-882-3312",
            "fax_number": "812-882-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURANAKA",
        "first_name": "AUSTIN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "41000233A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000772884",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201076110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

Verify at the official NPI Registry.