SOUTH SHORE FOOT AND ANKLE INC
NPI 1013270800
Podiatrist - Foot & Ankle Surgery in Valparaiso, IN

Active since June 18, 2012
1101 GLENDALE BLVD STE 101, VALPARAISO, IN 46383(219) 464-4100(219) 464-4114 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2019, Jan 26, 2016 (2 updates tracked since 2016).

About South Shore Foot And Ankle Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE FOOT AND ANKLE INC (NPI 1013270800) is a healthcare organization registered as a foot & ankle surgery in Valparaiso, Indiana and active in the NPI registry since June 2012. The organization lists Cynthia Grundy, Owner, as its authorized official.

NPPES Registry Identity

NPI1013270800
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOUTH SHORE FOOT AND ANKLE INC
Location Address1101 GLENDALE BLVD STE 101Valparaiso, IN 46383-3769
Mailing Address27 Aspen RdPortage, IN 46368-1027 · (219) 464-4100 · Fax (219) 464-4114
Fax(219) 464-4114
Organization SubpartNo
Authorized OfficialCynthia GrundyOwner · (219) 464-4100
Enumeration DateJune 18, 2012
Last NPPES UpdateJuly 29, 20252 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1013270800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IN · 07000941A
1101 GLENDALE BLVD STE 101, Valparaiso, IN 46383

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Shore Foot And Ankle Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20120718000881Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to South Shore Foot And Ankle Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1508865098
1101 GLENDALE BLVD STE 101
Valparaiso, IN 46383
(219) 307-4750
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1932548500
1101 GLENDALE BLVD STE 101
Valparaiso, IN 46383
(219) 307-4750
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore Foot And Ankle Inc's NPI number?

The NPI number for South Shore Foot And Ankle Inc is 1013270800. It was assigned to this organization in the NPPES registry on June 18, 2012.

Where is South Shore Foot And Ankle Inc located?

South Shore Foot And Ankle Inc is located at 1101 Glendale Blvd Ste 101, Valparaiso, IN 46383. The listed phone number is (219) 464-4100.

What is South Shore Foot And Ankle Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is South Shore Foot And Ankle Inc enrolled in Medicare?

Yes. South Shore Foot And Ankle Inc is registered in the Medicare PECOS enrollment system.

When is South Shore Foot And Ankle Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through South Shore Foot And Ankle Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to South Shore Foot And Ankle Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Shore Foot And Ankle Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list South Shore Foot And Ankle Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Shore Foot And Ankle Inc was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.