NPIMap

Organization Active NPI

Foot and Ankle Pain Clinic Corporation

  • Podiatrist
  • Whiting, IN
National Provider Identifier
1699077990
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000921A Issued in IN
Legal business name
FOOT AND ANKLE PAIN CLINIC CORPORATION
Practice address
2075 Indianapolis Blvd
Whiting, IN 46394-1948
Phone
(219) 659-9000
Fax
(219) 659-0944
NPI assigned
Nov 19, 2010
Last updated
Dec 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Authorized official

Name
Dr. Vipul M Patel, DPMNPI 1780611467
Title
Podiatrist
Phone
(219) 659-9000

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
Podiatrist 213E00000X 07000921A IN Primary

Addresses

Primary practice location

2075 Indianapolis Blvd
Whiting, IN 46394-1948

Mailing address

10506 Capistrano LN
Orland Park, IL 60467-8245
Phone (219) 659-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120501000126 IL Part B Supplier - Clinic/Group Practice 1456513811 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Homewood, IL
O20131007001443 IN Part B Supplier - Clinic/Group Practice 1456513811 Receives reassigned benefits from 3 practitioners
Practice locations: Highland, IN; Whiting, IN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Foot and Ankle Pain Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17901 Governors Hwy
Ste 205
Homewood, IL 60430
Phone (708) 206-0777

2838 45th St
#A
Highland, IN 46322
Phone (219) 424-1488

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1699077990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 CAPISTRANO LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678245",
            "telephone_number": "219-659-9000",
            "fax_number": "219-659-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 INDIANAPOLIS BLVD",
            "city": "WHITING",
            "state": "IN",
            "postal_code": "463941948",
            "telephone_number": "219-659-9000",
            "fax_number": "219-659-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE PAIN CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "219-659-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000921A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.