Individual provider Active NPI

Patrick A Deheer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1639172034
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000717 Issued in IN
Practice address
8414 Naab Rd
Indianapolis, IN 46260-1972
Phone
(317) 338-7510
NPI assigned
May 31, 2005
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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 07000717 IN Primary

Addresses

Primary practice location

8414 Naab Rd
Indianapolis, IN 46260-1972

Mailing address

8414 Naab Rd
Indianapolis, IN 46260-1972

Other practice location 1

7412 Rockville Rd Ste A
Indianapolis, IN 46214-3098
Phone (317) 271-0041

Other practice location 2

11725 N Illinois St Ste 545
Carmel, IN 46032-3014
Phone (317) 580-1586

Other practice location 3

1159 W Jefferson St Ste 204
Franklin, IN 46131-2795
Phone (317) 346-7722

Other identifiers 4

IdentifierTypeStateIssuer
4333300005OtherDMERC CARMEL
200450170MedicaidIN
5039910001OtherINDEMERC COLUMBUS
P00091670OtherRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patrick.deheer.1@7598.direct.athenahealth.com ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER

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
I20100820000239 IN Practitioner - Podiatry 9234115171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Hoosier Foot and Ankle LLCGroup PAC ID 8820074750, 20 clinicians

Practice addresses (Care Compare)

1159 W Jefferson St
Suite 204
Franklin, IN 46131-2795
Phone (317) 346-7722

14641 Thatcher LN
Suite 13
Carmel, IN 46032-1563
Phone (888) 499-5249

695 W 2ND St
Suite C
Jasper, IN 47546-3240
Phone (317) 346-7722

7412 Rockville Rd
Suite a
Indianapolis, IN 46214-3098
Phone (317) 271-0041

8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-7510

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue340
Removal or shaving of skin growth57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Children's Foot and Ankle Center LLC Current Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Aug 1, 2021 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Feb 10, 2019 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Aug 1, 2021 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Feb 10, 2019 Accepting new patients
Hoosier Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Jul 1, 2003 Accepting new patients
Major Hospital Past Accepting new patients
Hoosier Foot & Ankle LLC Foot & Ankle Surgery Past Accepting new patients
Circle City Medical Group, LLC Past Accepting new patients

Locations

2024 Lindberg Rd
Anderson, IN 46012
Phone (317) 643-2987

11725 Illinois St
Ste 545
Carmel, IN 46032
Phone (317) 580-1586

14641 Thatcher Ln
Ste 13
Carmel, IN 46032
Phone (888) 499-5249

1159 W Jefferson St
Ste 204
Franklin, IN 46131

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

7412 Rockville Rd
Indianapolis, IN 46214
Phone (317) 271-0041

7412 Rockville Rd
Ste A
Indianapolis, IN 46214
Phone (317) 271-0041

7430 N Shadeland Ave
Ste 290
Indianapolis, IN 46250
Phone (317) 841-7990

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8414 Naab Rd
Indianapolis, IN 46260
Phone (317) 338-1600

695 2nd St
Ste C
Jasper, IN 47546
Phone (812) 481-7200

Interoperability endpoints

  • Direct secure messaging: patrick.deheer.1@20754.direct.athenahealth.com
  • Direct secure messaging: patrick.deheer.1@4399.direct.athenahealth.com
  • Direct secure messaging: patrick.deheer.1@7598.direct.athenahealth.com
  • Direct secure messaging: patrick.deheer@8542.chartlogic.direct-ci.com

Organizations & group practices 9

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 5

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1639172034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8414 NAAB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972",
            "telephone_number": "317-338-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7412 Rockville Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462143098",
            "country_code": "US",
            "telephone_number": "317-271-0041",
            "fax_number": "317-271-0148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11725 N Illinois St Ste 545",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323014",
            "country_code": "US",
            "telephone_number": "317-580-1586",
            "fax_number": "317-346-7725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1159 W Jefferson St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "IN",
            "postal_code": "461312795",
            "country_code": "US",
            "telephone_number": "317-346-7722",
            "fax_number": "317-346-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHEER",
        "first_name": "PATRICK",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC CARMEL",
            "identifier": "4333300005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200450170",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC  COLUMBUS",
            "identifier": "5039910001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00091670",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.deheer.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER",
            "address_1": "8414 Naab Rd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462601972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.