NPIMap

Individual provider Active NPI

Cynthia Lembcke Grundy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Valparaiso, IN
National Provider Identifier
1508865098
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000941A Issued in IN
Practice address
1101 Glendale Blvd Ste 101
Valparaiso, IN 46383-3769
Phone
(219) 307-4750
Fax
(219) 307-4755
NPI assigned
Jul 18, 2005
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000941A IN Primary

Addresses

Primary practice location

1101 Glendale Blvd Ste 101
Valparaiso, IN 46383-3769

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

951 Transport Dr
Valparaiso, IN 46383
Phone (219) 464-4100

Other practice location 2

1551 Sturdy Rd
Suite 4
Valparaiso, IN 46383-7883
Phone (219) 464-4100

Other practice location 3

1551 Sturdy Rd
Suite 4
Valparaiso, IN 46383-7883
Phone (219) 464-4100

Other identifiers 1

IdentifierTypeStateIssuer
000000389506OtherINANTHEM BCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060207000648 IN Practitioner - Podiatry 8426063884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
South Shore Foot and Ankle IncGroup PAC ID 7719143700, 2 clinicians

Practice addresses (Care Compare)

1101 Glendale Blvd
Suite 101
Valparaiso, IN 46383-3769
Phone (219) 307-4750

951 Transport Dr
Valparaiso, IN 46383-8434
Phone (219) 464-4110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions1-10
Removal of nail tissue65
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Foot and Ankle Inc Foot & Ankle Surgery CurrentSince Jun 15, 2012 Accepting new patients
Franciscan Physician Network CurrentSince May 4, 2025 Accepting new patients
Franciscan Physician Network CurrentSince May 4, 2025 Accepting new patients
Illiana Surgery and Medical Center Past Accepting new patients
Great Lakes Orthopedics and Sports Medicine, P.C. Past Accepting new patients
Orthopedic Foot & Ankle Institute Foot & Ankle Surgery Past Accepting new patients
Great Lakes Orthopedics & Sports Medicine, PC Foot & Ankle Surgery Past Accepting new patients
Illiana Surgery & Medical Center, LLC Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

1101 Glendale Blvd
Ste 101
Valparaiso, IN 46383
Phone (219) 462-0555

1551 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 286-3091

1551 Sturdy Rd
Ste 4
Valparaiso, IN 46383
Phone (219) 464-4100

951 Transport Dr
Valparaiso, IN 46383
Phone (219) 464-4100

Interoperability endpoints

  • Direct secure messaging: cynthia.grundy.1@21892.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10531/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/21892/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1508865098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD STE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833769",
            "telephone_number": "219-307-4750",
            "fax_number": "219-307-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Transport Dr",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "46383",
            "country_code": "US",
            "telephone_number": "219-464-4100",
            "fax_number": "219-464-4114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Sturdy Rd",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463837883",
            "country_code": "US",
            "telephone_number": "219-464-4100",
            "fax_number": "219-464-4114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Sturdy Rd",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463837883",
            "country_code": "US",
            "telephone_number": "219-464-4100",
            "fax_number": "219-464-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUNDY",
        "first_name": "CYNTHIA",
        "middle_name": "LEMBCKE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000941A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER #",
            "identifier": "000000389506",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.