Active NPI
Frederick J Meccia, DPM
- Podiatrist
- Valparaiso, IN
National Provider Identifier
1639178718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000801
- Practice address
- 2002 Hendon Way
Valparaiso, IN 46385-8218 - Phone
- (219) 531-4917
- NPI assigned
- Jul 20, 2005
- Last updated
- Mar 12, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004365 | IL | |
| Podiatrist | 213E00000X | 07000801 | IN | Primary |
Addresses
Primary practice location
2002 Hendon Way
Valparaiso, IN 46385-8218
Mailing address
2002 Hendon Way Ste 1a
Valparaiso, IN 46385-8218
Phone (800) 503-1375
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060001681 | Other | IL | BCBS OF ILLINOIS |
| 000000227516 | Other | IN | ANTHEM BCBS OF INDIANA |
| 200045360A | Medicaid | IN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040308000221 | IN | Practitioner - Podiatry | 7012805534 | Practice locations: Chesterton, IN; Warsaw, IN; Wakarusa, IN; Valparaiso, IN; Schererville, IN; Portage, IN; Mishawaka, IN; Merrillville, IN… |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Beverly Dr
Chesterton, IN 46304-9368
Phone (219) 926-8387
2002 Hendon Way
Valparaiso, IN 46385-8218
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 21 |
| Removal of nail tissue | 453 |
| Removal or shaving of skin growth | 171 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004365 | IL | MD | Podiatrist |
| 07000801 | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assisted Living Concepts Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Settlers House
- Assisted Living Facility
- La Porte, IN
- NPI 1730374315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1639178718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 HENDON WAY STE 1A",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463858218",
"telephone_number": "800-503-1375",
"fax_number": "866-681-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 HENDON WAY",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463858218",
"telephone_number": "219-531-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECCIA",
"first_name": "FREDERICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "016004365",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "0060001681",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF INDIANA",
"identifier": "000000227516",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200045360A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
- Brian Charles McGuckin, D.C.
- Kathleen R McGuire, PTA
- William McKee, DC
- Ashley McLaughlin, M.S.ED
- Robert E. McMahon, DDS
- Medical Health & Wellness Clinic LLC (Medical Health & Wellness Clinic)
- Medical Transport Services, LLC
- Medicci Klinx Inc.
- Meijer Stores Limited Partnership (Meijer Pharmacy #297)
- Allison Melendez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.