Organization Active NPI

Central Massachusetts Podiatry, PC

  • Foot Surgery Podiatrist
  • Worcester, MA
National Provider Identifier
1114984606
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
Legal business name
CENTRAL MASSACHUSETTS PODIATRY, PC
Practice address
299 Lincoln St
Suite 202
Worcester, MA 01605-3646
Phone
(508) 757-4003
NPI assigned
Apr 27, 2006
Reactivated
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Dr. Neil J Feldman, DPMNPI 1104804640
Title
President/Owner
Phone
(508) 757-4003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X Primary

Addresses

Primary practice location

299 Lincoln St
Suite 202
Worcester, MA 01605-3646

Mailing address

299 Lincoln St Ste 202
Worcester, MA 01605-3646
Phone (508) 757-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050808000939 MA Part B Supplier - Clinic/Group Practice 3476582651 Receives reassigned benefits from 5 practitioners
Practice locations: Westborough, MA; Worcester, MA
O20100930018658 MA DME Supplier - Physician - Podiatry 3476582651 Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10827/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1114984606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST STE 202",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-757-4003",
            "fax_number": "508-755-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST",
            "address_2": "SUITE 202",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-757-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MASSACHUSETTS PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "deactivation_date": "2023-06-07",
        "reactivation_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "508-757-4003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.