Active NPI
Brian F Pontarelli, DPM
- Foot & Ankle Surgery Podiatrist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM00294
- Practice address
- 486 Silver Spring St
Providence, RI 02904 - Phone
- (401) 751-2660
- Fax
- (401) 751-9990
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM00294 | RI | Primary |
Addresses
Primary practice location
486 Silver Spring St
Providence, RI 02904
Mailing address
250 Wampanoag Trail
Suite 205 Rhode Island Foot Care Inc
East Providence, RI 02915
Phone (401) 431-0283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7007118 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1524 Atwood Ave
Suite 344
Johnston, RI 02919-3228
Phone (401) 273-5800
2140 Mendon Rd
Cumberland, RI 02864-3843
Phone (401) 405-0707
649 E Ave
Pawtucket, RI 02860-6157
Phone (401) 305-5088
738 Washington St
Attleboro, MA 02703-6948
Phone (508) 761-6045
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 19 |
| Removal of skin lesions | 69 |
| Removal of nail tissue | 1050 |
| Removal or shaving of skin growth | 211 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Foot Care, Inc | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
738 Washington St
South Attleboro, MA 02703
Phone (508) 761-6025
2140 Mendon Rd
Cumberland, RI 02864
Phone (401) 334-9630
1524 Atwood Ave
Ste 344
Johnston, RI 02919
Phone (401) 270-5395
1822 Mineral Spring Ave
North Providence, RI 02904
Phone (401) 353-5990
649 East Ave
Pawtucket, RI 02860
Phone (401) 305-3800
250 Wampanoag Trl
Ste 205
Riverside, RI 02915
Phone (401) 431-0283
Organizations & group practices 1
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1194804831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 WAMPANOAG TRAIL",
"address_2": "SUITE 205 RHODE ISLAND FOOT CARE INC",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "02915",
"telephone_number": "401-431-0283",
"fax_number": "401-438-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 SILVER SPRING ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-751-2660",
"fax_number": "401-751-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTARELLI",
"first_name": "BRIAN",
"middle_name": "F",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "RI",
"license": "DPM00294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7007118",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.