Individual provider Active NPI

Sandra R Raynor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1831158526
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000567A Issued in IN
Practice address
5471 Georgetown Rd Ste C
Indianapolis, IN 46254-5794
Phone
(317) 297-0661
Fax
(317) 328-6338
NPI assigned
Mar 21, 2006
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 07000567A IN Primary

Addresses

Primary practice location

5471 Georgetown Rd Ste C
Indianapolis, IN 46254-5794

Mailing address

5471 Georgetown Rd
Suite C
Indianapolis, IN 46254-5793
Phone (317) 297-0661

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sraynor@directaddress.net Direct

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
I20100324000233 IN Practitioner - Podiatry 1355476797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Associates of Indiana PCGroup PAC ID 0143295253, 16 clinicians

Practice addresses (Care Compare)

5471 Georgetown Rd
Suite C
Indianapolis, IN 46254-5794
Phone (317) 297-0661

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue126
Removal of skin lesions14
Removal of nail tissue377
Removal or shaving of skin growth87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000567AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Indiana PC Foot & Ankle Surgery CurrentSince Jun 10, 1986 Accepting new patients

Locations

5471 Georgetown Rd
Ste C
Indianapolis, IN 46254
Phone (317) 297-0661

Interoperability endpoints

  • Direct secure messaging: sraynor@directaddress.net

Organizations & group practices 1

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1831158526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 GEORGETOWN RD",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545793",
            "telephone_number": "317-297-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 GEORGETOWN RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545794",
            "telephone_number": "317-297-0661",
            "fax_number": "317-328-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000567A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sraynor@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5471 Georgetown Rd Ste C",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462545794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.