NPIMap

Individual provider Active NPI

Edward Paul Todderud, MD

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1891729463
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01032114A Issued in IN
Practice address
7930 N Shadeland Ave
Indianapolis, IN 46250
Phone
(317) 621-6725
Fax
(317) 621-4545
NPI assigned
Jul 10, 2006
Last updated
Dec 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01032114A IN Primary

Addresses

Primary practice location

7930 N Shadeland Ave
Indianapolis, IN 46250

Mailing address

6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospitals of Indiana Inc PastSince Sep 15, 2010 Accepting new patients
Major Hospital Past Accepting new patients
Community Health Network, Inc PastSince Jun 8, 2009 Accepting new patients
Community Hospitals of Indiana Inc PastSince Jul 13, 2009 Accepting new patients
Community Hospitals of Indiana Inc PastSince May 1, 2009 Accepting new patients
Community Hospitals of Indiana Inc PastSince May 1, 2010 Accepting new patients
Community Hospitals of Indiana Inc PastSince Sep 23, 2009 Accepting new patients
Community Hospitals of Indiana Inc PastSince Mar 6, 2008 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1891729463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-621-6725",
            "fax_number": "317-621-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODDERUD",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01032114A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.