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Contact Information

NORTHWEST INDIANA PODIATRY CLINIC, LLC
7250 ARTHUR BLVD
MERRILLVILLE, IN46410-3766
 Phone: 219-736-2900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assistant, Podiatric

211D00000X
 

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Public Health

213EP0504X 48 Podiatry
 

Radiology

213ER0200X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NORTHWEST INDIANA PODIATRY CLINIC, LLC

NPI # 1922204106
LBN Legal business name NORTHWEST INDIANA PODIATRY CLINIC, LLC
Authorized official FORTUNEE MASSUDA - (MEDICAL DIRECTOR & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
IN Other 90001145 BCBS OF IL # FOR IND
IN Other 5007670004 DMEPOS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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