Mieasha Hicks Barksdale, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Greenfield, IN
NPI 1740547769 · NPPES record last updated Mar 28, 2022
Key facts
- NPI
- 1740547769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 07001205A (IN)
- Practice address
- 1769 Melody LN
Greenfield, IN 46140-1192 - Phone
- (317) 937-8503
- NPI assigned
- Apr 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Indiana
Practice addresses (Care Compare)
1769 Melody LN
Greenfield, IN 46140-1192
Phone (317) 937-8503
Hospital & facility affiliations
- Hancock Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 175 |
| Removal of skin lesions | 45 |
| Removal of nail tissue | 287 |
| Removal or shaving of skin growth | 189 |
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 |
|---|---|---|---|---|
| I20150804005696 | IN | Practitioner - Podiatry | 8527205822 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Specialists of Indiana | Foot & Ankle Surgery | Current |
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
- https://fhir4.healow.com/fhir/r4/JAFGCD/Endpoint/JAFGCD
- mbarksdale@directaddress.net
- https://api.platform.athenahealth.com/23531/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07001205A | IN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201299790 | Medicaid | IN |
Other names
- Mieasha Lynn Hicks
Other providers in Greenfield, IN
- Andrea J. Baker II
- Mercedes Baldwin
- Kenya M Ball
- Linda Lou Banayote
- Gary W Bardonner
- Keryna Paige Barrett
- Eriel Bass
- Ann Marie Bastin
- Jason Bayless
- Gabriel Vandoran Beatty
All providers in Greenfield, 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 Mar 28, 2022. 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.