NPIMap

Organization Active NPI

Central Indiana Podiatry, PC

Doing business as Achilles Podiatry Group

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1841235512
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07000416A Issued in IN
Legal business name
CENTRAL INDIANA PODIATRY, PC
Doing business as
Achilles Podiatry Group
Practice address
3731 Guion Rd
Ste C
Indianapolis, IN 46222-7604
Phone
(317) 931-0664
Fax
(317) 927-0924
NPI assigned
Jun 18, 2006
Last updated
May 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Dr. Anthony E Miller, D.P.M.NPI 1205882099
Title
Owner
Phone
(317) 927-7000

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 07000416A IN Primary

Addresses

Primary practice location

3731 Guion Rd
Ste C
Indianapolis, IN 46222-7604

Mailing address

3731 Guion Road
Suite C
Indianapolis, IN 46222-7604
Phone (317) 931-0664

Other identifiers 1

IdentifierTypeStateIssuer
200313140MedicaidIN

Other names 1

  • Achilles Podiatry Group Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040917000618 IN Part B Supplier - Clinic/Group Practice 8921076902 Receives reassigned benefits from 3 practitioners
Practice locations: Carmel, IN; Indianapolis, IN
O20100930071184 IN DME Supplier - Physician - Podiatry 8921076902 Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

11911 N Meridian St
Ste 128
Carmel, IN 46032
Phone (317) 621-6730

277 E Carmel Dr
Ste C
Carmel, IN 46032
Phone (317) 573-5235

2020 S Western Ave
Marion, IN 46953
Phone (765) 662-0200

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1841235512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 GUION ROAD",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227604",
            "telephone_number": "317-931-0664",
            "fax_number": "317-927-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 GUION RD",
            "address_2": "STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462227604",
            "telephone_number": "317-931-0664",
            "fax_number": "317-927-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-927-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000416A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200313140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Achilles Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Achilles Podiatry Group",
            "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 May 3, 2019; 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.