Individual provider Active NPI

Amanda Vujovich, DPM

  • Foot & Ankle Surgery Podiatrist
  • Carmel, IN
National Provider Identifier
1992074868
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07001171A Issued in IN
Practice address
12425 Old Meridian St Ste A2
Carmel, IN 46032-8725
Phone
(317) 564-0958
Fax
(317) 564-0961
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001171A IN Primary

Addresses

Primary practice location

12425 Old Meridian St Ste A2
Carmel, IN 46032-8725

Mailing address

5471 Georgetown Rd Ste C
Indianapolis, IN 46254-5794
Phone (317) 297-0661

Other practice location 1

475 Sheridan Rd
Noblesville, IN 46060-1315
Phone (317) 776-0077

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
I20140512000782 IN Practitioner - Podiatry 9234362559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates of Indiana PC Foot & Ankle Surgery CurrentSince Jul 7, 2014 Accepting new patients

Locations

12425 Old Meridian St
Ste A2
Carmel, IN 46032
Phone (317) 564-0958

5471 Georgetown Rd
Ste C
Indianapolis, IN 46254
Phone (317) 297-0661

475 Sheridan Rd
Noblesville, IN 46060
Phone (317) 776-0077

Interoperability endpoints

  • Direct secure messaging: avujovich@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1992074868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 GEORGETOWN RD STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545794",
            "telephone_number": "317-297-0661",
            "fax_number": "317-328-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST STE A2",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328725",
            "telephone_number": "317-564-0958",
            "fax_number": "317-564-0961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Noblesville",
            "state": "IN",
            "postal_code": "460601315",
            "country_code": "US",
            "telephone_number": "317-776-0077",
            "fax_number": "317-776-0085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUJOVICH",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001171A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.