SOUTHSIDE FOOT CLINIC P C
NPI 1528117553
Podiatrist in Greenwood, IN
About Southside Foot Clinic P C NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHSIDE FOOT CLINIC P C (NPI 1528117553) is a healthcare organization registered as a podiatrist in Greenwood, Indiana and active in the NPI registry since January 2007. The organization lists J Karl Winckelbach, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
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)
Southside Foot Clinic P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Southside Foot Clinic P C, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Southside Foot Clinic P C's NPI number?
The NPI number for Southside Foot Clinic P C is 1528117553. It was assigned to this organization in the NPPES registry on January 9, 2007.
Where is Southside Foot Clinic P C located?
Southside Foot Clinic P C is located at 33 E County Line Rd Ste B, Greenwood, IN 46143. The listed phone number is (317) 882-9303.
What is Southside Foot Clinic P C's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Southside Foot Clinic P C enrolled in Medicare?
Yes. Southside Foot Clinic P C is registered in the Medicare PECOS enrollment system.
When is Southside Foot Clinic P C'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 October 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 Southside Foot Clinic P C?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Southside Foot Clinic 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southside Foot Clinic P C accept?
Health plans from Anthem Blue Cross and Blue Shield list Southside Foot Clinic P C 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 Southside Foot Clinic P C was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Southside Foot Clinic P C · NPI 1528117553
Podiatrist organization in Greenwood, Indiana. Organization record, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1528117553 (Entity type: Organization)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** J Winckelbach, PODIATRIST
## Practice location
- **Address:** 33 E COUNTY LINE RD STE B, Greenwood, IN 46143-1043
- **Phone:** (317) 882-9303 · **Fax:** (317) 882-6605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2008
- **Other identifiers:** Medicare NSC 4691620001 (IN); Medicare PIN 265340 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1528117553) · Data from the CMS NPPES public registry.