Lafayette Foot and Ankle Clinic LLC
NPI 1003193814ActiveOrganization· Podiatrist· Fort Wayne, IN
Podiatrist in Fort Wayne, Indiana, registered in NPPES in November 2011. The authorized official on file is Benny Fair, DPM, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003193814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2011 |
| Last updated in NPPES | Jan 6, 2025 |
| Certified by provider | Jan 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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