Individual provider Active NPI

Eric D Meehan, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Wakefield, RI
National Provider Identifier
1023295631
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00329 Issued in RI
Practice address
70 Kenyon Ave
Ste 212
Wakefield, RI 02879-4239
Phone
(401) 354-7966
NPI assigned
Jan 25, 2008
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LPR00062 RI
Foot & Ankle Surgery Podiatrist 213ES0103X DPM00329 RI Primary

Addresses

Primary practice location

70 Kenyon Ave
Ste 212
Wakefield, RI 02879-4239

Mailing address

1087 Warwick Ave
Warwick, RI 02888-3545
Phone (401) 354-7966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20100716000411 RI Practitioner - Podiatry 0042342602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South County Foot and Ankle, Inc.Group PAC ID 2365574928, 5 clinicians

Practice addresses (Care Compare)

24 Salt Pond Rd
Suite E1
Wakefield, RI 02879-4335
Phone (401) 354-7966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
81.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue2102
Removal or shaving of skin growth1061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPR00062RIMDPodiatrist
DPM00329RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South County Foot & Ankle, Inc. Podiatrist CurrentSince Apr 6, 2010 Accepting new patients

Locations

24 Salt Pond Rd
Ste E1
Wakefield, RI 02879
Phone (401) 783-0410

70 Kenyon Ave
#212
Wakefield, RI 02879
Phone (401) 782-8000

70 Kenyon Ave
Ste 212
Wakefield, RI 02879
Phone (401) 354-7966

1087 Warwick Ave
Warwick, RI 02888
Phone (401) 354-7966

1087 Warwick Ave
Unit 1
Warwick, RI 02888
Phone (401) 354-7966

116 Granite St
Westerly, RI 02891
Phone (401) 315-2995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJIGCD/Endpoint/BJIGCD

Organizations & group practices 3

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

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1023295631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883545",
            "telephone_number": "401-354-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KENYON AVE",
            "address_2": "STE 212",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794239",
            "telephone_number": "401-354-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "LPR00062",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.