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CRAIG SHOUSE DPM PC
NPI 1669096681
Podiatrist in Indianapolis, IN

Active since June 05, 2020
3410 N HIGH SCHOOL RD STE C, INDIANAPOLIS, IN 46224(317) 299-2644(317) 328-8914 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2021, Jun 5, 2020 (2 updates tracked since 2020).

About Craig Shouse Dpm Pc NPPES

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

CRAIG SHOUSE DPM PC (NPI 1669096681) is a healthcare organization registered as a podiatrist in Indianapolis, Indiana and active in the NPI registry since June 2020. The organization maintains 2 additional practice locations and lists Craig Shouse, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1669096681
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCRAIG SHOUSE DPM PC
Location Address3410 N HIGH SCHOOL RD STE CIndianapolis, IN 46224-0002
Mailing Address3410 N High School Rd Ste CIndianapolis, IN 46224-0002 · (317) 299-2644 · Fax (317) 328-8914
Phone(317) 299-2644
Fax(317) 328-8914
Organization SubpartNo
Authorized OfficialCraig ShousePodiatrist · (317) 299-2644
Enumeration DateJune 5, 2020
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1669096681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
3410 N HIGH SCHOOL RD STE C, Indianapolis, IN 46224
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Secondary Practice Locations 2

Location 18801 N Meridian St Ste 106Indianapolis, IN 46260-2353 · Phone (317) 574-0971 · Fax (317) 328-8914
Location 21542 S Bloomington StGreencastle, IN 46135-2212 · Phone (800) 395-6409 · Fax (317) 328-8914

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Craig Shouse Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateIndianaEnrollment IDO20240130003695DME · Physician - Unknown Physician SpecialtyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Craig Shouse DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Craig Shouse, DPM
Podiatry
NPI 1760801195
3410 N HIGH SCHOOL RD STE C
Indianapolis, IN 46224
(317) 299-2644
✔ 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 Craig Shouse Dpm PC's NPI number?

The NPI number for Craig Shouse Dpm PC is 1669096681. It was assigned to this organization in the NPPES registry on June 5, 2020.

Where is Craig Shouse Dpm PC located?

Craig Shouse Dpm PC is located at 3410 N High School Rd Ste C, Indianapolis, IN 46224. The listed phone number is (317) 299-2644.

What is Craig Shouse Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Craig Shouse Dpm PC enrolled in Medicare?

Yes. Craig Shouse Dpm PC is registered in the Medicare PECOS enrollment system.

When is Craig Shouse Dpm PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Indiana, Physician - Unknown Physician Specialty) is due for revalidation by February 28, 2027. 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 Craig Shouse Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Craig Shouse Dpm PC. 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.

What insurance does Craig Shouse Dpm PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Craig Shouse Dpm PC 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 Craig Shouse Dpm PC was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.