Individual provider Active NPI

Angela Lynn Alverson Glynn, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1588623151
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000867A Issued in IN
Practice address
8615 US 31 Ste a
Indianapolis, IN 46227-0972
Phone
(317) 888-0560
Fax
(317) 888-0657
NPI assigned
Mar 21, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 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 07000867A IN Primary

Addresses

Primary practice location

8615 US 31 Ste a
Indianapolis, IN 46227-0972

Mailing address

5471 Georgetown Rd Ste C
Indianapolis, IN 46254-5794
Phone (317) 297-0661

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aglynn@directaddress.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100323000567 IN Practitioner - Podiatry 8224163712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates of Indiana PCGroup PAC ID 0143295253, 16 clinicians

Practice addresses (Care Compare)

8615 US 31
A
Indianapolis, IN 46227-0972
Phone (317) 888-0596

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue259
Removal of skin lesions1-10
Removal of nail tissue697
Removal or shaving of skin growth295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000867AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Indiana PC Foot & Ankle Surgery CurrentSince Jul 24, 1998 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5471 Georgetown Rd
Ste C
Indianapolis, IN 46254
Phone (317) 297-0661

8615 US 31
#Sa
Indianapolis, IN 46227
Phone (317) 888-0596

8615 US 31
Ste A
Indianapolis, IN 46227
Phone (317) 888-0560

Interoperability endpoints

  • Direct secure messaging: aglynn@directaddress.net

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.

Hospital & facility affiliations 4

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1588623151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 GEORGETOWN RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545794",
            "telephone_number": "317-297-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 US 31 STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270972",
            "telephone_number": "317-888-0560",
            "fax_number": "317-888-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLYNN",
        "first_name": "ANGELA",
        "middle_name": "LYNN ALVERSON",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000867A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aglynn@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8615 US 31 Ste A",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462270972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.