Individual provider Active NPI

Mark C Rindlisbacher, D.P.M.

  • Podiatrist
  • Mishawaka, IN
National Provider Identifier
1982740668
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3430 Issued in AK
Practice address
1121 Highland Village Dr
Mishawaka, IN 46545-7150
Phone
(907) 250-0916
NPI assigned
Jan 29, 2007
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 07001453A IN
Podiatrist 213E00000X 3430 AK Primary

Addresses

Primary practice location

1121 Highland Village Dr
Mishawaka, IN 46545-7150

Mailing address

1121 Highland Village Dr
Mishawaka, IN 46545-7150
Phone (907) 250-0916

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
I20240503000120 IN Practitioner - Podiatry 3779767157 Reassigns benefits to 1 organization
Practice locations: Mishawaka, IN

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 S Main St
Suite 101
Mishawaka, IN 46544-2159
Phone (574) 208-5508

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3430AKMDPodiatrist
07001453AINMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
DPM Sync LLC CurrentSince Jan 1, 2025 Accepting new patients
Alaska Podiatry Group, LLC Past Accepting new patients

Locations

303 S Main St
Ste 101
Mishawaka, IN 46544
Phone (574) 208-5508

Organizations & group practices 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1982740668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 HIGHLAND VILLAGE DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457150",
            "telephone_number": "907-250-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HIGHLAND VILLAGE DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457150",
            "telephone_number": "907-250-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINDLISBACHER",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IN",
            "license": "07001453A",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AK",
            "license": "3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.