Individual provider Active NPI

Brian F Pontarelli, DPM

  • Foot & Ankle Surgery Podiatrist
  • Providence, RI
National Provider Identifier
1194804831
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00294 Issued in RI
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

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7007118MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090209000035 MA Practitioner - Podiatry 7810081122 Reassigns benefits to 1 organization
I20120220000023 RI Practitioner - Podiatry 7810081122 Reassigns benefits to 1 organization

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
Rhode Island Foot Care, Inc.Group PAC ID 7214902469, 9 clinicians

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue19
Removal of skin lesions69
Removal of nail tissue1050
Removal or shaving of skin growth211
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Foot Care, Inc Foot & Ankle Surgery CurrentSince Jul 1, 1999 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.

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

Verify at the official NPI Registry.