Jonathan H. Abiera II, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Granger, IN
NPI 1689055451 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1689055451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 07001273A (IN)
- Practice address
- 6913 N Main St Ste 300
Granger, IN 46530-8039 - Phone
- (574) 647-1500
- Fax
- (574) 647-2567
- NPI assigned
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beacon Medical Group Inc
Practice addresses (Care Compare)
6901 N Main St
102 Beacon Medical Group Main Street
Granger, IN 46530-8022
Phone (574) 647-4500
Hospital & facility affiliations
- Memorial Hospital of South Bend
- Elkhart General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 89 |
| Removal of nail tissue | 95 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180710000716 | IN | Practitioner - Podiatry | 5496067100 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001273A | IN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current |
Accepting new patients | |
| Beacon Medical Group Inc | Current |
Accepting new patients | |
| Vital Signs Wellness, LLC | Current |
Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
3301 County Road 6 E
Elkhart, IN 46514
Phone (574) 264-9635
6901 N Main St
Ste 102
Granger, IN 46530
Phone (574) 647-4500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
6913 N Main St
Ste 300
Granger, IN 46530
Phone (574) 647-1500
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610
Interoperability endpoints
- abiera@mybeacon.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07001273A | IN | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001273A | IN | Yes |
Addresses
Primary practice location
6913 N Main St Ste 300
Granger, IN 46530-8039
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-1610
Other practice location 1
1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967
Other practice location 2
3301 County Road 6 E
Elkhart, IN 46514-7673
Phone (574) 264-9635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300015813 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ABIERA@mybeacon.cernerdirect.com |
Other providers in Granger, IN
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- Abel Behavior Company, LLC
- Tracy Joyce Abel
- Anthony Carl Acito
- Lynn Kamiak Acosta
- Advance Dentures of Michiana
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All providers in Granger, IN · Foot & Ankle Surgery Podiatrist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.