Active NPI
Rahul Pedagandham
- Foot & Ankle Surgery Podiatrist
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001513A
- Practice address
- 10455 Orthopaedic Dr
Newburgh, IN 47630-7955 - Phone
- (812) 424-9291
- NPI assigned
- Mar 29, 2023
- Last updated
- Jul 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001513A | IN | Primary |
Addresses
Primary practice location
10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Mailing address
PO Box 328
Evansville, IN 47702-0328
Other practice location 1
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (344) 314-6000
Other practice location 2
340 Starlite Dr
Henderson, KY 42420-6102
Phone (812) 424-9291
Other practice location 3
5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 424-9291
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, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 328
Evansville, IN 47702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Newburgh, IN
- NPI 1932341922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1447954730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 328",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477020328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 ORTHOPAEDIC DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307955",
"telephone_number": "812-424-9291"
}
],
"practiceLocations": [
{
"address_1": "12303 De Paul Dr",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442512",
"country_code": "US",
"telephone_number": "344-314-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Starlite Dr",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424206102",
"country_code": "US",
"telephone_number": "812-424-9291",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5828 Pearl Dr",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477128116",
"country_code": "US",
"telephone_number": "812-424-9291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDAGANDHAM",
"first_name": "RAHUL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-29",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001513A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.