NORTHWEST INDIANA PODIATRY CLINIC, LLC
NPI 1932305117
Podiatrist - Foot & Ankle Surgery in Munster, IN

Active since June 25, 2007
9134 COLUMBIA AVE, SUITE B, MUNSTER, IN 46321(219) 836-3112(219) 836-3109 Get Directions Write a Review

NPPES record last updated: November 12, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1932305117) is a healthcare organization registered as a foot & ankle surgery in Munster, 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

NPI1932305117
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameNORTHWEST INDIANA PODIATRY CLINIC, LLC
Location Address9134 COLUMBIA AVE, SUITE BMunster, IN 46321-2907
Mailing Address9933 S Western Ave, Suite 102Chicago, IL 60643-1810 · (773) 233-3800 · Fax (773) 233-2513
Fax(219) 836-3109
Organization SubpartNo
Authorized OfficialFortunee MassudaMedical Director & Ceo · (773) 233-3800
Enumeration DateJune 25, 2007
Last NPPES UpdateNovember 12, 2009
NPI 1932305117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

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 · Sports MedicineTaxonomy 213ES0000X
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X
9134 COLUMBIA AVE, Munster, IN 46321

Other Identifiers 6

Medicaid200124730EIN
Other90001145IN · Bcbs
Medicare PIN210580IN
Medicare NSC5007670004IN
Medicare PIN1932305117
Medicare PINDA4713

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
9134 COLUMBIA AVE, STE A
MUNSTER, IN 46321

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 1932305117. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Northwest Indiana Podiatry Clinic, LLC located?

Northwest Indiana Podiatry Clinic, LLC is located at 9134 Columbia Ave Suite B, Munster, IN 46321. The listed phone number is (219) 836-3112.

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 with the weekly NPPES data releases published by CMS.