Individual provider Active NPI

Douglas E Mason, DPM

  • Foot Surgery Podiatrist
  • Clifton Park, NY
National Provider Identifier
1124125562
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006379 Issued in NY
Practice address
950 Route 146
Clifton Park, NY 12065-3667
Phone
(518) 383-0302
Fax
(518) 373-2298
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N006379 NY Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 016-004384 IL

Addresses

Primary practice location

950 Route 146
Clifton Park, NY 12065-3667

Mailing address

950 Route 146
Clifton Park, NY 12065-3667
Phone (518) 383-0302

Other identifiers 3

IdentifierTypeStateIssuer
0060201289OtherILBLUE CROSS BLUE SHIELD
03293698MedicaidNY
N006379OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101020000551 NY Practitioner - Podiatry 7719170992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Brian Friedman DPM PLLC 4 clinicians
New Dimensions in Living Inc 5 clinicians

Practice addresses (Care Compare)

302 A Washington Ave Ext
Albany, NY 12203-7303
Phone 5184824321120

40 Wall St
Amsterdam, NY 12010-4309
Phone (518) 843-2575

Merit-based Incentive Payment System (MIPS)

Final score
95.31 of 100Reported as group
Quality
90.61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of skin lesions31
Removal of nail tissue2621
Removal or shaving of skin growth554
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016-004384ILMDFoot & Ankle Surgery Podiatrist
N006379NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Brian Friedman, DPM, PLLC Foot & Ankle Surgery CurrentSince Feb 1, 2016 Accepting new patients
New Dimensions in Living Inc CurrentSince Jan 1, 2017 Accepting new patients
Capital Region Foot Care PLLC Foot & Ankle Surgery PastSince Nov 15, 1999 Accepting new patients
Salvatore J Galluzzo DPM Foot & Ankle Surgery Past Accepting new patients
Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC Past Accepting new patients
Roland a. Tolliver Foot & Ankle Surgery Past Accepting new patients
Mark Brian Friedman, DPM, PLLC Foot Surgery Past Accepting new patients

Locations

302A Washington Avenue Ext
Albany, NY 12203
Phone (518) 482-4321

40 Wall St
Amsterdam, NY 12010
Phone (518) 843-2575

6 Executive Park Dr
Stuyvesant Plaza, NY 12203
Phone (518) 482-9111

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1124125562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653667",
            "telephone_number": "518-383-0302",
            "fax_number": "518-373-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653667",
            "telephone_number": "518-383-0302",
            "fax_number": "518-373-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006379",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-004384",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0060201289",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03293698",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "N006379",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.