Pasquale Cancelliere, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

02371 Issued in MA

Practice address

53 Main St
Somerville, MA 02145-1448

Phone

(617) 629-2806

NPI assigned

Dec 31, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pcancelliere@direct.meditouchehr.com

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.

• Southern New Hampshire Ambulatory Surgical Suites

  • Ambulatory Surgical Clinic/Center
  • Salem, NH
  • NPI 1750033379

  Foot & Ankle Surgery

  Medicare reassignment NPD Authorized official
• Candria Foot & Ankle Specialists PLLC

  • Podiatrist
  • Salem, NH
  • NPI 1013682905
  Medicare reassignment Authorized official
• Saint Vincent Radiological Associates Inc

  • Diagnostic Radiology Physician
  • Worcester, MA
  • NPI 1366482093
  NPD (past)

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1184860835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 W 5TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463172",
            "telephone_number": "812-634-2778",
            "fax_number": "812-634-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MAIN ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021451448",
            "telephone_number": "617-629-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Buttrick Rd Ste D1",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533353",
            "country_code": "US",
            "telephone_number": "603-432-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCELLIERE",
        "first_name": "PASQUALE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "02371",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NH",
            "license": "0363",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "02371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambridge Public Health Commission
• Esther Camille, RN
• Lindsay Flynn Campbell, APRN
• Mariete G Campiteli
• Sandra Goncalves Campos, COUNSELOR
• Candria Consulting and Holdings Inc,
• Candria Foot & Ankle Specialists PLLC
• Steven Cano, M.S., R.PH.
• Anne Cantillon, PTA
• Manuel Cantu

• Podiatrist in Somerville, MA
• Providers in Somerville, MA by specialty
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.