Active NPI
David R Northcutt, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07001351
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300042601 | Medicaid | IN |
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
Enrollment records 1
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
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
- Indiana University Health Bedford Hospital
- Daviess Community Hospital
- Memorial Hospital and Health Care Center
- Indiana University Health Bloomington Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 20 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 417 |
| Removal or shaving of skin growth | 271 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07001351 | IN | MD | Foot & Ankle Surgery Podiatrist |
| 1899 | TX | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Upperline Healthcare, PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Hoosier Foot and Ankle LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| North Central Surgical Center L.L.P. | Past | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- Jasper, IN
- NPI 1942492814
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1548236524
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Daviess Community Hospital Women's Health Center
- Gynecology Physician
- Washington, IN
- NPI 1275482648
Hospital
-
dba Washington Surgical Associates
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1275745002
Hospital
-
dba DCH Diabetes & Endocrinology Clinic
- Endocrinology, Diabetes & Metabolism Physician
- Washington, IN
- NPI 1629337589
Hospital
-
dba Daviess Community Hospital
- General Acute Care Hospital
- Washington, IN
- NPI 1861465999
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
dba IU Health Bedford Hospital
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
dba IU Health Bedford
- Ambulance
- Bedford, IN
- NPI 1346218799
Hospital
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
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
- Lillian Grace Norris
- Sarah Elizabeth Norris, DO
- Suzette Danielle Norris
- North Star Nutrition Counseling , LLC (North Star Nutrition Counseling)
- Angela M Northcutt, PA-C
- Northern Indiana Emergency Physicians, LLP
- Northwest Hospitalist Physicians, LLP
- Rachael D Norton, MS, OTR, LDRS
- Ariel Hannah Nosofsky
- Jamais Nottger, ANP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.