Andrew James Rader, DPM
Individual provider Active NPI Podiatrist · Jasper, IN
NPI 1841216751 · NPPES record last updated Oct 1, 2024
Key facts
- NPI
- 1841216751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 07000700 (IN)
- Practice address
- 645 W 5TH St
Jasper, IN 47546-3172 - Phone
- (812) 634-2778
- Fax
- (812) 634-2909
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
800 W 9TH St
Jasper, IN 47546-2514
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 18 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000700 | IN | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000700 | IN | Yes |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 07000700 | IN |
Addresses
Primary practice location
645 W 5TH St
Jasper, IN 47546-3172
Mailing address
645 W 5TH St
Jasper, IN 47546-3172
Phone (812) 634-2778
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100110820 | Medicaid | IN | |
| 000000306119 | Other | IN | ANTHEM |
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2024. 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.