OrganizationActive
Mobile Podiatrist, PC
NPI 1861692402 · Primary Podiatric Medicine Podiatrist · Greenwood, IN
Provider details
- NPI number
- 1861692402
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Irene Roge, President(317) 697-6536
- License
- 016-004848 (IL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1558 Victoria Ct
Greenwood, IN 46143-7884
Phone: (317) 697-6536
Fax: (317) 859-2923
Street-level locationGet directions
Mailing address
1558 Victoria Ct
Greenwood, IN 46143-7884
Registry dates
- Enumerated
- 2007-07-23
- Last updated
- 2011-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.