Individual provider Active NPI

Elizabeth Ponkowski Parry, DPM

  • Foot & Ankle Surgery Podiatrist
  • Indianapolis, IN
National Provider Identifier
1861920506
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001335A Issued in IN
Practice address
8615 US 31 S Ste a
Indianapolis, IN 46227-0972
Phone
(317) 888-0560
Fax
(317) 888-0657
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

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 07001335A IN Primary

Addresses

Primary practice location

8615 US 31 S Ste a
Indianapolis, IN 46227-0972

Mailing address

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

Other practice location 1

1801 Senate Blvd Ste 610
Indianapolis, IN 46202-1259
Phone (317) 924-4797

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
I20200520000784 IN Practitioner - Podiatry 4981961588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
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

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Community Hospital South, Inc. Hospital, Indianapolis, IN, CCN 150128

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue127
Removal of skin lesions1-10
Removal of nail tissue509
Removal or shaving of skin growth200
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Indiana PC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Major Hospital Past Accepting new patients

Locations

12425 Old Meridian St
Ste A2
Carmel, IN 46032
Phone (317) 564-0958

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

1801 Senate Blvd
Ste 610
Indianapolis, IN 46202
Phone (317) 924-4797

8615 US 31
Ste A
Indianapolis, IN 46227
Phone (317) 888-0560

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1861920506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 GEORGETOWN RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545794",
            "telephone_number": "317-297-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 US 31 S STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462270972",
            "telephone_number": "317-888-0560",
            "fax_number": "317-888-0657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Senate Blvd Ste 610",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021259",
            "country_code": "US",
            "telephone_number": "317-924-4797",
            "fax_number": "317-924-5794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRY",
        "first_name": "ELIZABETH",
        "middle_name": "PONKOWSKI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "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": "07001335A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.