Individual provider Active NPI

Morgan Faanes, DPM

  • Foot & Ankle Surgery Podiatrist
  • Winamac, IN
National Provider Identifier
1659860096
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001373A Issued in IN
Practice address
616 E 13TH St
Winamac, IN 46996-1117
Phone
(574) 946-2135
NPI assigned
May 1, 2018
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001373A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 07001373A IN Primary

Addresses

Primary practice location

616 E 13TH St
Winamac, IN 46996-1117

Mailing address

616 E 13TH St
Winamac, IN 46996-1117

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
I20210623001553 IN Practitioner - Podiatry 8123373867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulaski Memorial HospitalGroup PAC ID 3173515509, shared by 32 NPIs, 45 clinicians

Practice addresses (Care Compare)

616 E 13TH St
Winamac, IN 46996-1117
Phone (574) 946-2100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001373AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski Memorial Hospital CurrentSince Dec 1, 2023 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients
Pulaski Memorial Hospital CurrentSince Dec 1, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Podiatrist Past Accepting new patients

Locations

232 S Main St
Ste A
Culver, IN 46511
Phone (574) 335-7780

2 S Pearl St
Knox, IN 46534
Phone (574) 207-5050

414 Lane St
North Judson, IN 46366
Phone (574) 896-2257

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5ac0007d-0893-4627-b11f-857c06d27ab1/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/781d290a-0fb7-4574-b825-dd38fe495caa/
  • Direct secure messaging: mfaanes1162351@direct.trinity-health.org

Organizations & group practices 5

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 1

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1659860096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E 13TH ST",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E 13TH ST",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961117",
            "telephone_number": "574-946-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAANES",
        "first_name": "MORGAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001373A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001373A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winamac, IN

Sources for this page

Verify at the official NPI Registry.