Inderjit Singh Panesar, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

500 Issued in IA

Practice address

1 Edmundson PL
Ste 500
Council Bluffs, IA 51503-4619

Phone

(712) 323-5333

Fax

(712) 323-3252

NPI assigned

Jul 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miller Orthopaedic Affiliates PC

  • Orthopaedic Surgery Physician
  • Council Bluffs, IA
  • NPI 1659379519

  NE

  Medicare reassignment NPD
• Miller Orthopaedic Affiliates PC

  dba Miller Orthopedic Specialists

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1982097804
  NPD

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1639177041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL",
            "address_2": "STE 500",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034619",
            "telephone_number": "712-323-5333",
            "fax_number": "712-323-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL",
            "address_2": "STE 500",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034619",
            "telephone_number": "712-323-5333",
            "fax_number": "712-323-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANESAR",
        "first_name": "INDERJIT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-09",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NE",
            "license": "252",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080697",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "20945",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Outreach Chiropractic
• Ellen Bridget Overholtzer-Strait, PHARMD
• Joshua David Owen, D.C.
• Pace Iowa (Immanuel Pathways)
• Margaret Marie Panarisi, DDS
• Lisa A. Pape, ARNP
• Kayla R Paris, PTA
• Angela Leigh Parker, ARNP
• Connie Jean Parker, ARRT
• Tammana J Patel, APRN-NP

• Podiatrist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Podiatrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.