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
- 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 Pain Clinic 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
3313 45th St
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.
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
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.