Individual provider Active NPI

Ashley Nancy Mastrangelo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Pawtucket, RI
National Provider Identifier
1013323419
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
LPR00146 Issued in RI
Practice address
111 Brewster St
Pawtucket, RI 02860-4474
Phone
(401) 729-2977
Fax
(401) 729-2544
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X LPR00146 RI Primary

Addresses

Primary practice location

111 Brewster St
Pawtucket, RI 02860-4474

Mailing address

111 Brewster St
Pawtucket, RI 02860-4474
Phone (401) 729-2977

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
I20170922000823 MA Practitioner - Podiatry 1951520402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 927-3040

152 Conant St
Suite 301
Beverly, MA 01915-1659
Phone (978) 927-3040

99 Conifer Hill Dr
Suite 204
Danvers, MA 01923-1194
Phone (978) 927-3040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue188
Removal or shaving of skin growth97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2463MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedic Associates Inc CurrentSince Sep 1, 2017 Accepting new patients
Coastal Orthopedic Associates Inc CurrentSince Sep 1, 2017 Accepting new patients

Locations

152 Conant St
Ste 301
Beverly, MA 01915
Phone (978) 927-3040

77 Herrick St
Ste 201
Beverly, MA 01915
Phone (978) 927-3040

99 Conifer Hill Dr
Ste 204
Danvers, MA 01923
Phone (978) 927-3040

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

Interoperability endpoints

  • Direct secure messaging: ashley.mastrangelo.1@30242.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1013323419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604474",
            "telephone_number": "401-729-2977",
            "fax_number": "401-729-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604474",
            "telephone_number": "401-729-2977",
            "fax_number": "401-729-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRANGELO",
        "first_name": "ASHLEY",
        "middle_name": "NANCY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "LPR00146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.