Organization Active NPI

Ladine Podiatry PC

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1760679369
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000966A Issued in IN
Legal business name
LADINE PODIATRY PC
Practice address
8433 Harcourt Rd Ste 210
Indianapolis, IN 46260-2196
Phone
(317) 876-7361
Fax
(317) 876-7370
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Dr. Niels W Ladine, DPMNPI 1023061991
Title
Podiatrist
Phone
(765) 529-5300

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 07000966A IN Primary

Addresses

Primary practice location

8433 Harcourt Rd Ste 210
Indianapolis, IN 46260-2196

Mailing address

8433 Harcourt Rd Ste 210
Indianapolis, IN 46260-2196
Phone (317) 876-7361

Other identifiers 1

IdentifierTypeStateIssuer
200890330MedicaidIN

Other names 1

  • New Castle Foot & Ankle Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080319000574 IN Part B Supplier - Clinic/Group Practice 5395821136 Receives reassigned benefits from 3 practitioners
Practice locations: Carmel, IN; Indianapolis, IN; New Castle, IN
O20100930068373 IN DME Supplier - Physician - Podiatry 5395821136 Practice locations: New Castle, IN

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Ladine Podiatry PC2 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

13421 Old Meridian St
Ste 202
Carmel, IN 46032
Phone (317) 770-1700

3221 S Memorial Dr
Ste C
New Castle, IN 47362
Phone (765) 529-5300

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1760679369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602196",
            "telephone_number": "317-876-7361",
            "fax_number": "317-876-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8433 HARCOURT RD STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602196",
            "telephone_number": "317-876-7361",
            "fax_number": "317-876-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADINE PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "LADINE",
        "authorized_official_first_name": "NIELS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "765-529-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000966A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200890330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Castle Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2023; 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.