Organization Active NPI

Elek LLC

  • Podiatric Clinic/Center
  • Mishawaka, IN
National Provider Identifier
1821400326
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
07001174A Issued in IN
Legal business name
ELEK LLC
Doing business as
Foot and Ankle Clinic of Michiana
Lincolnway Foot Care
Practice address
425 Lincolnway E
Mishawaka, IN 46544-2213
Phone
(574) 288-8200
Fax
(574) 288-8226
NPI assigned
Jun 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Dr. Cassandra Elizabeth Papak, DPMNPI 1396031837
Title
Physician
Phone
(219) 765-8045

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
Podiatric Clinic/Center 261QP1100X 07001174A IN Primary

Addresses

Primary practice location

425 Lincolnway E
Mishawaka, IN 46544-2213

Mailing address

10216 Heather Lake Dr
Osceola, IN 46561-8899
Phone (219) 765-8045

Other names 2

  • Foot and Ankle Clinic of Michiana Doing business as
  • Lincolnway Foot Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140723002684 IN Part B Supplier - Clinic/Group Practice 9133345309 Receives reassigned benefits from 1 practitioner
Practice locations: Mishawaka, IN; Notre Dame, IN; South Bend, IN

National Provider Directory

National Provider Directory

Locations

425 Lincolnway E
Mishawaka, IN 46544
Phone (574) 288-8200

Practitioners & affiliated clinicians

Practitioners 1

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": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1821400326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 HEATHER LAKE DR",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465618899",
            "telephone_number": "219-765-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LINCOLNWAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442213",
            "telephone_number": "574-288-8200",
            "fax_number": "574-288-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "PAPAK",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "219-765-8045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IN",
            "license": "07001174A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Clinic of Michiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincolnway Foot Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.