Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRIYA MAYUR THAKKAR DPM
NPI 1093400152
Podiatrist - Foot & Ankle Surgery in Mishawaka, IN

Q: What is Priya Thakkar's NPI number?

The NPI number for Priya Thakkar is 1093400152. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Priya Thakkar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Priya Thakkar was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.

Active since April 05, 2023PECOS Enrolled

611 E DOUGLAS RD STE 101, MISHAWAKA, IN 46545(574) 335-6817(574) 335-0732 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2026, Apr 5, 2023 (2 updates tracked since 2023).

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About Dr. Priya Mayur Thakkar Dpm NPPES

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

DR. PRIYA MAYUR THAKKAR DPM (NPI 1093400152) is an individual foot & ankle surgery provider in Mishawaka, Indiana, licensed in Texas (692326) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093400152

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. PRIYA MAYUR THAKKARCredential: DPM

Location Address611 E DOUGLAS RD STE 101Mishawaka, IN 46545-1464

Mailing Address2111 S Wabash Ave Apt 2104Chicago, IL 60616-1794 · (224) 465-4459

Phone(574) 335-6817

Fax(574) 335-0732

Sole ProprietorNo

Enumeration DateApril 5, 2023

Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1093400152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in TX · 692326

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

611 E DOUGLAS RD STE 101, Mishawaka, IN 46545

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Priya Mayur Thakkar Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FABEIHA A KHAN

Student in an Organized Health Care Education/Training Program