Mr. Walter Douglas Kolmodin
DPM | Podiatrist | 27+ years Exp
Medicare Enrolled
14950 State Road 23, Granger
Indiana, 46530-7564
574-259-9668 574-259-9671
Maps & DirectionsMr. Walter Douglas Kolmodin is a Granger, Indiana based podiatrist with 27 years of experience in Podiatry. He completed his graduation from College Of Podiatric Med And Surgery, Des Moines University in 1998. He is also affiliated with hospitals like Saint Joseph Regional Medical Center and Unity Medical And Surgical Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Walter Douglas Kolmodin for Podiatry is 07000902A in Indiana.
Mr. Walter Douglas Kolmodin is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Walter Douglas Kolmodin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Podiatry |
| Credentials: | DPM |
| Experience: | 27+ years |
| Medical School Attended: | College Of Podiatric Med And Surgery, Des Moines University |
| Graduation Year: | 1998 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 14950 State Road 23, Granger,
Indiana, 46530-7564 |
| Phone: | 574-259-9668 |
| Fax: | 574-259-9671 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4082680186 |
| Enrollment ID: | I20040909000810 |
| NPI Number: | 1265427645 |
| NPI Enumeration Date: | 13 Sep, 2005 |
| NPI Last Update On: | 10 Jul, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Walter Douglas Kolmodin are as mentioned below.
| License Number | Specialization | State | Status | |
| 07000902A | Podiatry | Indiana | Primary | |
Hospital Affiliation:
Doctors are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Saint Joseph Regional Medical Center (150012) | Mishawaka, IN | Acute Care Hospital |
| Unity Medical And Surgical Hospital (150177) | Mishawaka, IN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Walter Douglas Kolmodin is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| The South Bend Clinic Llc (3779577937) | 168 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Walter Douglas Kolmodin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000262667 | Other | Indiana | BLUE CROSS BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 14950 State Road 23,
Granger, Indiana |
| Zip: | 46530-7564 |
| Phone Number: | 574-259-9668 |
| Fax Number: | 574-259-9671 |
Patients can reach Mr. Walter Douglas Kolmodin at
14950 State Road 23, Granger, Indiana or can
call to book an appointment on 574-259-9668.
Comments/ Reviews:
Patients can read all the reviews posted for Mr. Walter Douglas Kolmodin below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mr. Walter Douglas Kolmodin. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.