Active NPI
Robert Edward Clemency III, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Schererville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001211A
- Practice address
- 1545 W US Highway 30
Schererville, IN 46375-1562 - Phone
- (219) 703-2440
- Fax
- (219) 703-6751
- NPI assigned
- Jun 6, 2012
- Last updated
- Aug 18, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 07001211A | IN | Primary |
Addresses
Primary practice location
1545 W US Highway 30
Schererville, IN 46375-1562
Mailing address
1545 W US Highway 30
Schererville, IN 46375-1562
Phone (219) 703-2440
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
- Creighton University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 Macarthur Blvd
Suite 401
Munster, IN 46321-2919
Phone (219) 440-5290
Hospital & facility affiliations
- Powers Home Health Services
- Community Hospital
- St Mary Medical Center Inc
- St Catherine Hospital Inc
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 890 |
| Removal of nail tissue | 22 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001211A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Munster Radiology Group PC | Past | Accepting new patients |
Locations
801 MacArthur Blvd
Ste 401
Munster, IN 46321
Phone (219) 836-2860
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
1545 W US Highway 30
Schererville, IN 46375
Phone (219) 703-2440
Interoperability endpoints
- rclemency90168@ssdirect.comhs.org
Organizations & group practices 2
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.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
- Diagnostic Radiology Physician
- Munster, IN
- NPI 1144207101
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1508127663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 W US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751562",
"telephone_number": "219-703-2440",
"fax_number": "219-703-6751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 W US HIGHWAY 30",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751562",
"telephone_number": "219-703-2440",
"fax_number": "219-703-6751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENCY",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-06",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "07001211A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.