Individual provider Active NPI

Stephen M Offutt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1700889102
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0700991A Issued in IN
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01287668OtherINRAILROAD MEDICARE
07000991AOtherINSTATE LICENSE
200958540MedicaidIN
11267445OtherINCAQH
200268880EMedicaidIN

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
I20041117000610 IN Practitioner - Podiatry 8426012717 Reassigns benefits to 3 organizations

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
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Hoosier Foot and Ankle LLCGroup PAC ID 8820074750, 20 clinicians

Practice addresses (Care Compare)

1106 S a St
Richmond, IN 47374-5526
Phone (765) 962-3724

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1549
Removal or shaving of skin growth376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0700991AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince May 15, 2023 Accepting new patients
Hoosier Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Jan 15, 2025 Accepting new patients
Onhealthcare LLC CurrentSince Feb 11, 2026 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince May 15, 2023 Accepting new patients
Westmed, LLC PastSince May 17, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Richmond Foot and Ankle Inc Foot & Ankle Surgery PastSince Oct 31, 2012 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.