Individual provider Active NPI

Rebecca E Southard, DPM

  • Podiatrist
  • Scituate, MA
National Provider Identifier
1003818436
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2048 Issued in MA
Practice address
10 New Driftway
Suite 103
Scituate, MA 02066-4530
Phone
(781) 545-9285
Fax
(781) 545-9553
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2048 MA Primary

Addresses

Primary practice location

10 New Driftway
Suite 103
Scituate, MA 02066-4530

Mailing address

PO Box 352
Scituate, MA 02066-0352
Phone (781) 545-9285

Other identifiers 9

IdentifierTypeStateIssuer
2316054OtherMAAETNA
Y71003OtherMAB/S
0357871MedicaidMA
333403OtherMAPILGRIM
002048OtherMATUFTS
2700098OtherMAUNITED HEALTH CARE
0000644OtherMANEIGHBORHOOD HEALTH PLANS
480018778OtherMARAILROAD MEDICARE
B2081900OtherMACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810001052 MA Practitioner - Podiatry 6002888096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scituate Podiatry Group IncGroup PAC ID 9638146277, 2 clinicians

Practice addresses (Care Compare)

10 New Driftway
Suite 103
Scituate, MA 02066-4546
Phone (781) 545-9285

Hospital & facility affiliations

  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as individual
Quality
82.37
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions11
Removal of nail tissue1063
Removal or shaving of skin growth779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2048MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scituate Podiatry Group Inc Podiatrist CurrentSince Aug 1, 1978 Accepting new patients

Locations

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

10 New Driftway
Scituate, MA 02066
Phone (508) 591-0761

10 New Driftway
Ste 103
Scituate, MA 02066
Phone (781) 545-9285

541 Main St
Ste 105
Weymouth, MA 02190
Phone (781) 337-3334

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1003818436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020660352",
            "telephone_number": "781-545-9285",
            "fax_number": "781-545-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEW DRIFTWAY",
            "address_2": "SUITE 103",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020664530",
            "telephone_number": "781-545-9285",
            "fax_number": "781-545-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "REBECCA",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2316054",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S",
            "identifier": "Y71003",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357871",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "333403",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "002048",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2700098",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLANS",
            "identifier": "0000644",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480018778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B2081900",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

Verify at the official NPI Registry.