Individual provider Active NPI

David R Northcutt, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bloomington, IN
National Provider Identifier
1922235340
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001351 Issued in IN
Practice address
1791 W 3Rd St
Bloomington, IN 47404-5029
Phone
(812) 333-4422
Fax
(812) 333-6698
NPI assigned
Jun 11, 2009
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1899 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 07001351 IN Primary

Addresses

Primary practice location

1791 W 3Rd St
Bloomington, IN 47404-5029

Mailing address

1791 W 3Rd St
Bloomington, IN 47404-5029
Phone (812) 333-4422

Other practice location 1

1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 333-4422

Other practice location 2

2900 16th St
Bedford, IN 47421-3510
Phone (812) 333-4422

Other identifiers 1

IdentifierTypeStateIssuer
300042601MedicaidIN

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
I20200915003713 IN Practitioner - Podiatry 0648324137 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin J PowersGroup PAC ID 6204877210, 2 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Practice addresses (Care Compare)

1791 W 3Rd St
Bloomington, IN 47404-5029
Phone (812) 333-4422

695 W 2ND St
Suite C
Jasper, IN 47546-3240
Phone (800) 615-1363

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue20
Removal of skin lesions1-10
Removal of nail tissue417
Removal or shaving of skin growth271
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001351INMDFoot & Ankle Surgery Podiatrist
1899TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Mar 2, 2026 Accepting new patients
Upperline Healthcare, PC Foot & Ankle Surgery CurrentSince Mar 2, 2026 Accepting new patients
Hoosier Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Mar 2, 2026 Accepting new patients
North Central Surgical Center L.L.P. PastSince Jun 1, 2013 Accepting new patients

Locations

1159 W Jefferson St
Ste 204
Franklin, IN 46131

7412 Rockville Rd
Ste A
Indianapolis, IN 46214
Phone (317) 271-0041

695 2nd St
Ste C
Jasper, IN 47546
Phone (812) 481-7200

Interoperability endpoints

  • Direct secure messaging: dnorthcutt@direct.uspi.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1922235340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045029",
            "telephone_number": "812-333-4422",
            "fax_number": "812-333-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045029",
            "telephone_number": "812-333-4422",
            "fax_number": "812-333-6698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475012860",
            "country_code": "US",
            "telephone_number": "812-333-4422",
            "fax_number": "812-333-6698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213510",
            "country_code": "US",
            "telephone_number": "812-333-4422",
            "fax_number": "812-333-6698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-11",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1899",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300042601",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.