Individual provider Active NPI

Craig Shouse, DPM

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1760801195
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001254A Issued in IN
Practice address
3410 N High School Rd Ste C
Indianapolis, IN 46224-0002
Phone
(317) 299-2644
Fax
(317) 328-8914
NPI assigned
Apr 14, 2014
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 07001254A IN Primary

Addresses

Primary practice location

3410 N High School Rd Ste C
Indianapolis, IN 46224-0002

Mailing address

3410 N High School Rd Ste C
Indianapolis, IN 46224-0002
Phone (317) 299-2644

Other practice location 1

8476 E County Road 200 S
Greensburg, IN 47240-7468
Phone (812) 569-8827

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
I20170906003170 IN Practitioner - Podiatry 6103137583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3410 N High School Rd
Suite C
Indianapolis, IN 46224-0002
Phone (317) 299-2644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.69 of 100Reported as individual
Quality
82.79
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue121
Removal of skin lesions1-10
Removal of nail tissue632
Removal or shaving of skin growth352
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Shouse DPM PC Podiatrist CurrentSince Feb 12, 2020 Accepting new patients
Craig Shouse DPM PC Past Accepting new patients
Craig Shouse DPM PC Podiatrist PastSince Mar 27, 2022 Accepting new patients

Locations

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

3410 N High School Rd
Ste C
Indianapolis, IN 46224
Phone (317) 299-2644

8801 N Meridian St
Ste 106
Indianapolis, IN 46260
Phone (317) 299-2644

Interoperability endpoints

  • Direct secure messaging: craig.shouse.2@12448.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12448/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1760801195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 N HIGH SCHOOL RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462240002",
            "telephone_number": "317-299-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 N HIGH SCHOOL RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462240002",
            "telephone_number": "317-299-2644",
            "fax_number": "317-328-8914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8476 E County Road 200 S",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "IN",
            "postal_code": "472407468",
            "country_code": "US",
            "telephone_number": "812-569-8827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOUSE",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001254A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.