SRD PODIATRY P.C.
NPI 1376749168
Podiatrist - Primary Podiatric Medicine in Merrillville, IN

Active since June 27, 2007
1237 W. 82ND LANE, MERRILLVILLE, IN 46410(219) 791-0667(219) 791-0657 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Srd Podiatry P.c. NPPES

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

SRD PODIATRY P.C. (NPI 1376749168) is a healthcare organization registered as a primary podiatric medicine in Merrillville, Indiana and active in the NPI registry since June 2007. The organization lists Sherese R Dillon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376749168
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameSRD PODIATRY P.C.
Location Address1237 W. 82ND LANEMerrillville, IN 46410
Mailing Address1237 W. 82nd PlMerrillville, IN 46410 · (219) 791-0667 · Fax (219) 791-0657
Fax(219) 791-0657
Organization SubpartNo
Authorized OfficialSherese R DillonCeo · (219) 791-0667
Enumeration DateJune 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376749168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in IN · 07000980A
1237 W. 82ND LANE, Merrillville, IN 46410

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Srd Podiatry P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Srd Podiatry P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1598730020
1237 W 82ND LANE
Merrillville, IN 46410
(219) 791-0667
✔ 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 Srd Podiatry P.C.'s NPI number?

The NPI number for Srd Podiatry P.C. is 1376749168. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Srd Podiatry P.C. located?

Srd Podiatry P.C. is located at 1237 W. 82nd Lane, Merrillville, IN 46410. The listed phone number is (219) 791-0667.

What is Srd Podiatry P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Srd Podiatry P.C. enrolled in Medicare?

Yes. Srd Podiatry P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Srd Podiatry P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Srd Podiatry P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Srd Podiatry P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.