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MR. WALTER DOUGLAS KOLMODIN DPM NPI 1265427645


NPI Information

NPI: 1265427645
Provider Name: MR. WALTER DOUGLAS KOLMODIN, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
14950 STATE ROAD 23
GRANGER, IN
ZIP 46530
Phone: (574) 259-9668
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MR. Walter Douglas Kolmodin, DPM is a podiatrist in Granger, IN with 26 years of experience. The provider is 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. MR. Walter Douglas Kolmodin, DPM NPI is 1265427645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:1998

The provider's business location address is:

14950 STATE ROAD 23
GRANGER, IN
ZIP 46530-564
Phone: (574) 259-9668
Fax: (574) 259-9671

The NPI 1265427645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Destruction of skin growth (HCPCS:17000)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Ultrasound study of arteries of both arms and legs (HCPCS:93922)

The enumeration date for this NPI number is 9/13/2005 and was last updated on 8/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist07000902AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1146470E7MEDICARE PININDIANA
2U83500MEDICARE UPIN
3000000262667OTHERINDIANABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.