Organization Active NPI

North Central Indiana Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Kokomo, IN
National Provider Identifier
1396932695
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001003A Issued in IN
Legal business name
NORTH CENTRAL INDIANA PODIATRY
Practice address
1791 W Lincoln Rd
Kokomo, IN 46902-3590
Phone
(765) 453-7600
Fax
(765) 453-3861
NPI assigned
Oct 1, 2007
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Joshua W KeyesNPI 1447252028
Title
Podiatrist
Phone
(765) 453-7600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 07001003A IN Primary

Addresses

Primary practice location

1791 W Lincoln Rd
Kokomo, IN 46902-3590

Mailing address

1791 W Lincoln Rd
Kokomo, IN 46902-3590
Phone (765) 453-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071220000232 IN Part B Supplier - Clinic/Group Practice 4183714637 Receives reassigned benefits from 2 practitioners
Practice locations: Kokomo, IN
O20100930059208 IN DME Supplier - Physician - Podiatry 4183714637 Practice locations: Kokomo, IN

National Provider Directory

National Provider Directory

Locations

3731 Guion Rd
Ste C
Indianapolis, IN 46222
Phone (317) 931-0664

1201 Michigan Ave
Ste LL50
Logansport, IN 46947
Phone (574) 753-1407

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": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1396932695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023590",
            "telephone_number": "765-453-7600",
            "fax_number": "765-453-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023590",
            "telephone_number": "765-453-7600",
            "fax_number": "765-453-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL INDIANA PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "KEYES",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "765-453-7600"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.