NORTHWEST INDIANA PODIATRY CLINIC, LLC
NPI 1609072677
Podiatrist - Foot & Ankle Surgery in Highland, IN

Q: What is Northwest Indiana Podiatry Clinic, LLC's specialty?

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

Active since June 26, 2007

3100 45TH AVE, HIGHLAND, IN 46322(219) 922-0510(219) 923-4594 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Northwest Indiana Podiatry Clinic, Llc NPPES

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

NORTHWEST INDIANA PODIATRY CLINIC, LLC (NPI 1609072677) is a healthcare organization registered as a foot & ankle surgery in Highland, Indiana and active in the NPI registry since June 2007. The organization lists Fortunee Massuda, Medical Director & Ceo, as its authorized official.

NPPES Registry Identity

NPI1609072677

Entity TypeOrganization

Primary Taxonomy213ES0103X

Legal Business NameNORTHWEST INDIANA PODIATRY CLINIC, LLC

Location Address3100 45TH AVEHighland, IN 46322

Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (773) 445-3800 · Fax (773) 233-2513

Phone(219) 922-0510

Fax(219) 923-4594

Organization SubpartNo

Authorized OfficialFortunee MassudaMedical Director & Ceo · (773) 233-3800

Enumeration DateJune 26, 2007

Last NPPES UpdateNovember 12, 2009

✔ NPI 1609072677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

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

Taxonomy Code213ES0103X

Also ListedAssistant, PodiatricTaxonomy 211D00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedPodiatrist · Public MedicineTaxonomy 213EP0504X

Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X

Also ListedPodiatrist · RadiologyTaxonomy 213ER0200X

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X

3100 45TH AVE, Highland, IN 46322

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Other Identifiers 6

Medicare PIN210580IN

Medicaid200124730CIN

Medicare PIN1609072677IN

Medicare NSC5007670001IN

Medicare PINDA4713

Other90001145IN · Bcbs Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Northwest Indiana Podiatry Clinic, LLC's NPI number?

The NPI number for Northwest Indiana Podiatry Clinic, LLC is 1609072677. It was assigned to this organization in the NPPES registry on June 26, 2007.

Where is Northwest Indiana Podiatry Clinic, LLC located?

Northwest Indiana Podiatry Clinic, LLC is located at 3100 45th Ave, Highland, IN 46322. The listed phone number is (219) 922-0510.

What is Northwest Indiana Podiatry Clinic, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Northwest Indiana Podiatry Clinic, LLC was last updated on November 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.