Organization Active NPI

Golden Care Podiatry

  • Podiatrist
  • Westfield, IN
National Provider Identifier
1679768642
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
GOLDEN CARE PODIATRY
Practice address
15022 Sullivan LN
Westfield, IN 46074-9802
Phone
(317) 713-1111
Fax
(317) 713-1100
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Dr. Kenneth J KruegerNPI 1538159231
Title
Podiatrist
Phone
(317) 713-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

15022 Sullivan LN
Westfield, IN 46074-9802

Mailing address

15022 Sullivan LN
Westfield, IN 46074-9802
Phone (317) 713-1111

Other identifiers 2

IdentifierTypeStateIssuer
100239180MedicaidIN
000000344455OtherINANTHEM BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040825000921 IN Part B Supplier - Clinic/Group Practice 0840264719 Receives reassigned benefits from 1 practitioner
Practice locations: Westfield, IN

National Provider Directory

National Provider Directory

Locations

130 E Northfield Dr
#178
Brownsburg, IN 46112
Phone (317) 852-7964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1679768642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15022 SULLIVAN LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749802",
            "telephone_number": "317-713-1111",
            "fax_number": "317-713-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15022 SULLIVAN LN",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749802",
            "telephone_number": "317-713-1111",
            "fax_number": "317-713-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN CARE PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "317-713-1111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239180",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000344455",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.