Active NPI
Paul G Sommer DPM PC
- Foot & Ankle Surgery Podiatrist
- Valparaiso, IN
National Provider Identifier
1497915367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000690A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul G Sommer
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200901950 A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Foot & Ankle Surgery Podiatrist
- Valparaiso, IN
- NPI 1639212285
Foot & Ankle Surgery, IN
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.