Organization Active NPI

Ladine Podiatry, PC

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1518205509
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000950A Issued in IN
Legal business name
LADINE PODIATRY, PC
Practice address
8433 Harcourt Rd
Suite 210
Indianapolis, IN 46260-2196
Phone
(317) 876-7361
Fax
(317) 876-7370
NPI assigned
Jan 25, 2013
Organization subpart
Yes
Parent organization
LADINE PODIATRY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Barbara Huntsman
Title
Credenial Specialist
Phone
(317) 931-0664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 07000950A IN Primary

Addresses

Primary practice location

8433 Harcourt Rd
Suite 210
Indianapolis, IN 46260-2196

Mailing address

8433 Harcourt Rd Ste 210
Indianapolis, IN 46260-2196
Phone (317) 876-7361

Other identifiers 2

IdentifierTypeStateIssuer
DH1868OtherINPALMETTO GBA
200890330MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000570 IN DME Supplier - Physician - Podiatry 5395821136 Practice locations: Indianapolis, IN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ladine Podiatry PC2 organizations share this tax ID, including this one
Part of
Ladine Podiatry PC

Other organizations with this tax ID 1

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

Locations

3205 S Memorial Dr
New Castle, IN 47362
Phone (765) 529-5300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1518205509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602196",
            "telephone_number": "317-876-7361",
            "fax_number": "317-876-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD",
            "address_2": "SUITE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602196",
            "telephone_number": "317-876-7361",
            "fax_number": "317-876-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADINE PODIATRY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LADINE PODIATRY, PC",
        "enumeration_date": "2013-01-25",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CREDENIAL SPECIALIST",
        "authorized_official_telephone_number": "317-931-0664"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000950A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DH1868",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200890330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.