Bionic Prosthetics and Orthotics Group LLC
Organization Active NPI Prosthetic/Orthotic Supplier · Madison, IN
NPI 1982220109 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1982220109
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BIONIC PROSTHETICS AND ORTHOTICS GROUP LLC
- Practice address
- 110 Miles Ridge Rd
Madison, IN 47250-2410 - Phone
- (812) 265-2682
- Fax
- (812) 286-0006
- NPI assigned
- Jun 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Sumesh Saxena, CP, BOCO
- Title
- Owner
- Phone
- (219) 791-9200
Corporate family (same tax ID) 32
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bionic Prosthetics and Orthotics |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210222002589 | IN | DME Supplier - Orthotic Personnel |
5890992523 | Practice locations: Madison, IN |
National Provider Directory
- Tax ID family
- Bionic Prosthetics and Orthotics Group LLC
Locations
3647 Clifty Dr
Madison, IN 47250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
110 Miles Ridge Rd
Madison, IN 47250-2410
Mailing address
3803 E Lincoln Hwy
Merrillville, IN 46410-5809
Phone (219) 791-9200
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All providers in Madison, IN · Prosthetic/Orthotic Supplier in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.