Natasha Mandula, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07001187A Issued in IN

Practice address

756 N Main St Ste N
Crown Point, IN 46307-3268

Phone

(219) 257-0255

Fax

(219) 209-5514

NPI assigned

Apr 28, 2011

Last updated

Nov 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10531/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Crown Foot & Ankle, LLC

  • Podiatric Clinic/Center
  • Crown Point, IN
  • NPI 1588233043
  Medicare reassignment NPD Authorized official
• Great Lakes Orthopedics & Sports Medicine, PC

  • Orthopaedic Surgery Physician
  • Saint John, IN
  • NPI 1669472270
  Medicare reassignment NPD
• Great Lakes Orthopedics and Sports Medicine, P.C.

  • Physical Therapist
  • Crown Point, IN
  • NPI 1336363266
  NPD

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1851682561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 N MAIN ST STE N",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073268",
            "telephone_number": "219-257-0255",
            "fax_number": "219-209-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 N MAIN ST STE N",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073268",
            "telephone_number": "219-257-0255",
            "fax_number": "219-209-5514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 W 181st Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "IN",
            "postal_code": "463560017",
            "country_code": "US",
            "telephone_number": "219-257-0255",
            "fax_number": "219-209-5514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 N Halleck St",
            "address_purpose": "LOCATION",
            "city": "Demotte",
            "state": "IN",
            "postal_code": "463109553",
            "country_code": "US",
            "telephone_number": "219-257-0255",
            "fax_number": "219-209-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDULA",
        "first_name": "NATASHA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001187A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Major Hospital (Healthcare Center at Wittenberg Village)
• Julie Ann Mallers
• Mary E Malloy-Rhee, LSSW
• Kyrsten Anne Malloy
• Tameka Malone, MS CCC-SLP
• Emily Mangiaracina, OD
• Cecily Manibusan
• Jasmine Manitowabi, RBT
• Andrew Manning, LMHC
• Karen A Mannino, FNP

• Podiatrist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.