Indy Wound Center for Limb Preservation & Reconstruction LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

INDY WOUND CENTER FOR LIMB PRESERVATION & RECONSTRUCTION LLC

Practice address

8325 S Emerson Ave Ste B1
Indianapolis, IN 46237-8559

Phone

(317) 742-6575

Fax

(866) 222-7033

NPI assigned

Oct 11, 2022

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neal Patel, DPMNPI 1427579002

Title

Owner/Provider

Phone

(765) 618-2792

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Neal Kaushik Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
  • NPI 1427579002
  Medicare reassignment Care Compare group NPD Authorized official
• Rachel Celeste Henderson, APN

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1609365014
  Medicare reassignment Care Compare group NPD
• Thomas Alan Zumbaugh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orange, CT
  • NPI 1427582923

  IN

  Medicare reassignment Care Compare group NPD
• Kelsey Jean Barth, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1275181299
  Medicare reassignment

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1326763491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 S EMERSON AVE STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378559",
            "telephone_number": "317-742-6575",
            "fax_number": "866-222-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 S EMERSON AVE STE B1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378559",
            "telephone_number": "317-742-6575",
            "fax_number": "866-222-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY WOUND CENTER FOR LIMB PRESERVATION & RECONSTRUCTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "765-618-2792",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.