Organization Active NPI

Paul G Sommer DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Valparaiso, IN
National Provider Identifier
1497915367
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000690A Issued in IN
Legal business name
PAUL G SOMMER DPM PC
Practice address
1610 Pointe Dr
Valparaiso, IN 46383-7098
Phone
(219) 477-3668
Fax
(219) 531-1520
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Paul G SommerNPI 1639212285
Title
President
Phone
(219) 477-3668

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 MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 07000690A IN Primary

Addresses

Primary practice location

1610 Pointe Dr
Valparaiso, IN 46383-7098

Mailing address

1610 Pointe Dr
Valparaiso, IN 46383-7098
Phone (219) 477-3668

Other identifiers 1

IdentifierTypeStateIssuer
200901950 AMedicaidIN

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080715000714 IN Part B Supplier - Clinic/Group Practice 6002989621 Receives reassigned benefits from 1 practitioner
Practice locations: Demotte, IN; Valparaiso, IN
O20100930000497 IN DME Supplier - Physician - Podiatry 6002989621 Practice locations: Valparaiso, IN

National Provider Directory

National Provider Directory

Locations

1610 Pointe Dr
Ste C
Valparaiso, IN 46383

1610 Pointe Dr
Valparaiso, IN 46383
Phone (219) 462-1123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1497915367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 POINTE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837098",
            "telephone_number": "219-477-3668",
            "fax_number": "219-531-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 POINTE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463837098",
            "telephone_number": "219-477-3668",
            "fax_number": "219-531-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL G SOMMER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SOMMER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-477-3668"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000690A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901950 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.