NORTHWEST INDIANA PODIATRY CLINIC, LLC
NPI 1639375058
Podiatrist - Foot & Ankle Surgery in Whiting, IN

NPI Status: Active since June 22, 2007

Contact Information

1534 119TH ST
WHITING, IN
ZIP 46394
Phone: (219) 659-0630
Fax: (219) 473-0018

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  • Organization
  • Podiatrist
  • Foot & Ankle Surgery

About NORTHWEST INDIANA PODIATRY CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Northwest Indiana Podiatry Clinic, Llc, a provider established in Whiting, Indiana operating as a Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1639375058 assigned on June 2007. The practitioner's primary taxonomy code is 213ES0103X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Northwest Indiana Podiatry Clinic, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Fortunee Massuda Dpm (Medical Director & Ceo)

NPI
1639375058
Provider Name
NORTHWEST INDIANA PODIATRY CLINIC, LLC
Entity Type
Organization
Location Address
1534 119TH ST WHITING, IN 46394
Location Phone
(219) 659-0630
Location Fax
(219) 473-0018
Mailing Address
9933 S WESTERN AVE SUITE 102 CHICAGO, IL 60643
Mailing Phone
(773) 233-3800
Mailing Fax
(219) 473-0018
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2007
Last Update Date
11-12-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot & Ankle Surgery

Taxonomy Code
213ES0103X
Type
Podiatric Medicine & Surgery Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1211D00000XPodiatric Medicine & Surgery Service Providers

Assistant, Podiatric

 
2213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
3213EP0504XPodiatric Medicine & Surgery Service Providers

Podiatrist
Public Medicine

 
4213EP1101XPodiatric Medicine & Surgery Service Providers

Podiatrist
Primary Podiatric Medicine

 
5213ER0200XPodiatric Medicine & Surgery Service Providers

Podiatrist
Radiology

 
6213ES0000XPodiatric Medicine & Surgery Service Providers

Podiatrist
Sports Medicine

 
7213ES0131XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. FORTUNEE MASSUDA DPM

Authorized Official Title
MEDICAL DIRECTOR & CEO
Authorized Official Phone
(773) 233-3800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200124730BMEDICAID (05)IN 
DA4713MEDICARE PIN (08) 
1639375058MEDICARE PIN (08)IN 
90001145OTHER (01)INBCBS
210580MEDICARE PIN (08)IN 
5007670002MEDICARE NSC (07)IN 

Reviews for NORTHWEST INDIANA PODIATRY CLINIC, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639375058
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26696710010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 7 + 1 + 0 + 0 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1639375058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255389573 PAULA M. BENCHIK-ABRINKO M.D.
Individual
Internal Medicine1534 119TH ST
WHITING, IN 46394
(219) 659-1222
1407186984BENCHIK MEDICAL HEALTH CENTER PC
Organization
Internal Medicine1534 119TH ST
WHITING, IN 46394
(219) 659-1222
1639263155 CHARRU MALIK P.T.
Individual
Physical Therapist1534 119TH ST
WHITING, IN 46394
(219) 655-5285
1558821801 SHAKTI BANWAT
Individual
Physical Therapy Assistant1534 119TH ST
WHITING, IN 46394
(219) 655-5285

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639375058, enumerated in the NPI registry as an "organization" on June 22, 2007

The provider is located at 1534 119th St Whiting, In 46394 and the phone number is (219) 659-0630

This medical organization specializes in Podiatrist with taxonomy code 213ES0103X with a focus in Foot & Ankle Surgery

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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