DR. PRIYA MAYUR THAKKAR DPM - NPI 1093400152 - Podiatrist in Mishawaka, IN

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

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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 Enrollment Status

Priya Thakkar is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No