Active NPI
Dinesh C Pandya, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Rockford, IL
National Provider Identifier
1952306045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01600-003233
- Practice address
- 5695 Strathmoor Dr
Ste 1
Rockford, IL 61107-5192 - Phone
- (815) 398-6400
- Fax
- (815) 398-6435
- NPI assigned
- Jun 16, 2005
- Last updated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01600-003233 | IL | Primary |
Addresses
Primary practice location
5695 Strathmoor Dr
Ste 1
Rockford, IL 61107-5192
Mailing address
5695 Strathmoor Dr
Ste 1
Rockford, IL 61107-5192
Phone (815) 398-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601-01254 | Other | IL | BCBS, IL |
Other names 1
- Dr. Dino C Pandya
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01600-003233 | IL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Templin & Associates Podiatry P.C. | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Expert Foot & Ankle Clinic
- Foot & Ankle Surgery Podiatrist
- Rockford, IL
- NPI 1376921072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1952306045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5695 STRATHMOOR DR",
"address_2": "STE 1",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075192",
"telephone_number": "815-398-6400",
"fax_number": "815-398-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5695 STRATHMOOR DR",
"address_2": "STE 1",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075192",
"telephone_number": "815-398-6400",
"fax_number": "815-398-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "DINESH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "01600-003233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS, IL",
"identifier": "601-01254",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DINO",
"last_name": "PANDYA",
"middle_name": "C",
"prefix": "DR.",
"credential": "D.P.M.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.