Monticello Podiatry LLC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

MONTICELLO PODIATRY LLC

Practice address

1281 Win Hentschel Blvd Ste 1579
West Lafayette, IN 47906-4357

Phone

(765) 430-6963

NPI assigned

Feb 9, 2022

Organization subpart

No

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

Authorized official

Name

Murtuza A. Peerbhai, DPMNPI 1740316124

Title

Sole Member

Phone

(765) 430-6963

Specialties & licenses 1

Addresses

Other names 1

• west lafayette podiatry Doing business as

Tax ID family

Monticello Podiatry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Monticello Podiatry LLC

  • Primary Podiatric Medicine Podiatrist
  • Monticello, IN
  • NPI 1780048108
  NPD tax ID

Locations

Practitioners 1

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

• Murtuza A. Peerbhai, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monticello, IN
  • NPI 1740316124
  NPD (past) Authorized official

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1508510447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 WIN HENTSCHEL BLVD STE 1579",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064357",
            "telephone_number": "765-430-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 WIN HENTSCHEL BLVD STE 1579",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064357",
            "telephone_number": "765-430-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "PEERBHAI",
        "authorized_official_first_name": "MURTUZA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "765-430-6963",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "west lafayette podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Park Mohr
• Cameron Lewis Mohr, D.D.S.
• Hanna Molter
• Jessica Marie Monjaras, FNP-BC, FNP-C
• Rachel Lyn Monk
• Erin Natasha Moon-Walker, MSW LSW
• Amanda Kaye Mooney
• Michelle Mooney
• Maya Moore
• Mor-Nuco Enterprises Inc.

• Primary Podiatric Medicine Podiatrist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Primary Podiatric Medicine Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.