Active NPI
Foot and Ankle Pain Clinic Corporation
- Durable Medical Equipment & Medical Supplies
- Whiting, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 07000921A
- Legal business name
- FOOT AND ANKLE PAIN CLINIC CORPORATION
- Practice address
- 2075 Indianapolis Blvd
Whiting, IN 46394-1948 - Phone
- (219) 659-9000
- Fax
- (219) 659-0944
- NPI assigned
- Jan 28, 2008
- Last updated
- Jan 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vipul M Patel
- Title
- Doctor
- Phone
- (219) 659-9000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 07000921A | IN | Primary |
Addresses
Primary practice location
2075 Indianapolis Blvd
Whiting, IN 46394-1948
Mailing address
2075 Indianapolis Blvd
Whiting, IN 46394-1948
Phone (219) 659-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120501000126 | IL | Part B Supplier - Clinic/Group Practice | 1456513811 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Homewood, IL |
| O20150127001515 | IN | DME Supplier - Physician - Podiatry | 1456513811 | Practice locations: Whiting, IN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Highland, IN
- NPI 1285015578
O20120501000126
National Provider Directory
National Provider Directory- Tax ID family
- Foot and Ankle Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Whiting, IN
- NPI 1699077990
Locations
2838 45th St
#A
Highland, IN 46322
Phone (219) 424-1488
3313 45th St
Highland, IN 46322
Phone (219) 924-1042
3313 45th St
Ste M
Highland, IN 46322
Phone (219) 924-1042
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Whiting, IN
- NPI 1780611467
-
- Foot & Ankle Surgery Podiatrist
- Highland, IN
- NPI 1437890142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421366400000",
"number": "1992982425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 INDIANAPOLIS BLVD",
"city": "WHITING",
"state": "IN",
"postal_code": "463941948",
"telephone_number": "219-659-9000",
"fax_number": "219-659-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 INDIANAPOLIS BLVD",
"city": "WHITING",
"state": "IN",
"postal_code": "463941948",
"telephone_number": "219-659-9000",
"fax_number": "219-659-0944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT AND ANKLE PAIN CLINIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-28",
"last_updated": "2015-01-16",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VIPUL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "219-659-9000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "07000921A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiting, IN
- Doctors on Call LLC
- Mary Kay Earlie, FNP
- Jane Lucille B. Edquila, OCCUPATION THERAPY
- Efren Gomez OD an Indiana Professional Corporation (Gomez and Hoffman Optometry)
- Foot and Ankle Pain Clinic Corporation
- Susan Joan Foundos-Biegel, DDS
- David Fried, D.M.D
- Efren Alejandro Gomez, O.D.
- Irving Gonzalez
- Olga Grbich, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.