Active NPI
Stephen M Offutt, DPM
- Foot & Ankle Surgery Podiatrist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0700991A
- Practice address
- 8780 Purdue Rd
Suite # 7
Indianapolis, IN 46268-6129 - Phone
- (317) 471-8701
- Fax
- (317) 471-8702
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0700991A | IN | Primary |
Addresses
Primary practice location
8780 Purdue Rd
Suite # 7
Indianapolis, IN 46268-6129
Mailing address
8780 Purdue Rd
Suite # 7
Indianapolis, IN 46268-6129
Phone (317) 471-8701
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01287668 | Other | IN | RAILROAD MEDICARE |
| 07000991A | Other | IN | STATE LICENSE |
| 200958540 | Medicaid | IN | |
| 11267445 | Other | IN | CAQH |
| 200268880E | 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
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 S a St
Richmond, IN 47374-5526
Phone (765) 962-3724
Hospital & facility affiliations
- Reid Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1549 |
| Removal or shaving of skin growth | 376 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0700991A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Hoosier Foot and Ankle LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Onhealthcare LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Westmed, LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Richmond Foot and Ankle Inc | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
2024 Lindberg Rd
Anderson, IN 46012
Phone (317) 643-2987
14641 Thatcher Ln
Ste 13
Carmel, IN 46032
Phone (888) 499-5249
7830 E 96th St
Fishers, IN 46037
Phone (888) 499-5249
1159 W Jefferson St
Ste 204
Franklin, IN 46131
7412 Rockville Rd
Ste A
Indianapolis, IN 46214
Phone (317) 271-0041
8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 537-9522
7412 Rockville Rd
Indianapolis, IN 46214
Phone (317) 271-0041
695 2nd St
Ste C
Jasper, IN 47546
Phone (812) 481-7200
3305 N Everbrook Ln
Muncie, IN 47304
Phone (765) 284-4220
1007 N 16th St
New Castle, IN 47362
Phone (765) 284-4220
1106 S A St
Richmond, IN 47374
Phone (765) 962-3724
1060 S Main St
Ste 5
Tipton, IN 46072
Phone (765) 377-1148
Interoperability endpoints
- stephen.offutt.1@4399.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Jasper, IN
- NPI 1942492814
-
- Optometrist
- Indianapolis, IN
- NPI 1417220369
-
- Foot & Ankle Surgery Podiatrist
- Richmond, IN
- NPI 1154674851
-
- Podiatrist
- Indianapolis, IN
- NPI 1952677353
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1235521030
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, IN
- NPI 1063457380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1700889102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8780 PURDUE RD",
"address_2": "SUITE # 7",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686129",
"telephone_number": "317-471-8701",
"fax_number": "317-471-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8780 PURDUE RD",
"address_2": "SUITE # 7",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686129",
"telephone_number": "317-471-8701",
"fax_number": "317-471-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFUTT",
"first_name": "STEPHEN",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IN",
"license": "0700991A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01287668",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "07000991A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200958540",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11267445",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200268880E",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.