Active NPI
Tanisha Leanna Smith, DPM
- Primary Podiatric Medicine Podiatrist
- Indianapolis, IN
National Provider Identifier
1316264187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 07001108A
- Practice address
- 5926 Crawfordsville Rd Unit B
Indianapolis, IN 46224-3722 - Phone
- (317) 653-2730
- Fax
- (317) 321-1935
- NPI assigned
- May 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07001108A | IN | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO 3402 | FL |
Addresses
Primary practice location
5926 Crawfordsville Rd Unit B
Indianapolis, IN 46224-3722
Mailing address
30 W Monroe St Ste 1200
Chicago, IL 60603-2420
Phone (312) 733-9730
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730
7343 Clearvista Dr
Indianapolis, IN 46256-4602
Phone (317) 397-1718
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 53 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 3402 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angelic Footcare | Primary Podiatric Medicine | Current | Accepting new patients |
| Oak Street Health Physicians Group, PC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
7343 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 585-5400
Interoperability endpoints
- tanisha.smith@oakstreethealth.gwaydirect.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.
-
- Primary Podiatric Medicine Podiatrist
- Indianapolis, IN
- NPI 1457732133
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1073995338
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1316264187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W MONROE ST STE 1200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606032420",
"telephone_number": "312-733-9730",
"fax_number": "773-866-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5926 CRAWFORDSVILLE RD UNIT B",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462243722",
"telephone_number": "317-653-2730",
"fax_number": "317-321-1935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TANISHA",
"middle_name": "LEANNA",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IN",
"license": "07001108A",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO 3402",
"primary": false
}
],
"identifiers": [],
"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 Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.