Individual provider Active NPI

Mieasha Hicks Barksdale, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Greenfield, IN
National Provider Identifier
1740547769
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001205A Issued in IN
Practice address
1769 Melody LN
Greenfield, IN 46140-1192
Phone
(317) 937-8503
NPI assigned
Apr 15, 2012
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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 07001205A IN Primary

Addresses

Primary practice location

1769 Melody LN
Greenfield, IN 46140-1192

Mailing address

1769 Melody LN
Greenfield, IN 46140-1192
Phone (317) 937-8503

Other names 1

  • Mieasha Lynn Hicks Former name

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
I20150804005696 IN Practitioner - Podiatry 8527205822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of IndianaGroup PAC ID 8729487350, 2 clinicians

Practice addresses (Care Compare)

1769 Melody LN
Greenfield, IN 46140-1192
Phone (317) 937-8503

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue175
Removal of skin lesions45
Removal of nail tissue287
Removal or shaving of skin growth189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001205AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of Indiana Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1769 Melody Ln
Greenfield, IN 46140
Phone (317) 937-8503

5126 E Stop 11 Rd Ste 6
Indianapolis, IN 46237

5162 E Stop 11 Rd
Ste 6
Indianapolis, IN 46237
Phone (317) 300-0370

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23531/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFGCD/Endpoint/JAFGCD
  • Direct secure messaging: mbarksdale@directaddress.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1334448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1740547769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 MELODY LN",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401192",
            "telephone_number": "317-937-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 MELODY LN",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401192",
            "telephone_number": "317-937-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "MIEASHA",
        "middle_name": "HICKS",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-15",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001205A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIEASHA",
            "last_name": "HICKS",
            "middle_name": "LYNN",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.