Organization Active NPI

Foot and Ankle Institute of New England

  • Podiatrist
  • Warwick, RI
National Provider Identifier
1215920327
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
FOOT AND ANKLE INSTITUTE OF NEW ENGLAND
Practice address
400 Bald Hill Rd
Ste 503
Warwick, RI 02886-1617
Phone
(401) 738-7750
Fax
(401) 738-9750
NPI assigned
Aug 24, 2005
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Robert E Gallucci, DPMNPI 1275528549
Title
DPM
Phone
(401) 738-7750

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
Podiatrist 213E00000X RI Primary

Addresses

Primary practice location

400 Bald Hill Rd
Ste 503
Warwick, RI 02886-1617

Mailing address

400 Bald Hill Rd
Ste 503
Warwick, RI 02886-1617
Phone (401) 738-7750

Other identifiers 3

IdentifierTypeStateIssuer
21286-7OtherRIBCBS
24240OtherRINITP
FA35314MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060126000633 RI Part B Supplier - Clinic/Group Practice 9032123237 Receives reassigned benefits from 3 practitioners
Practice locations: Warwick, RI
O20080410000142 MA Part B Supplier - Clinic/Group Practice 9032123237 Receives reassigned benefits from 3 practitioners
Practice locations: North Dartmouth, MA
O20100930081591 RI DME Supplier - Physician - Podiatry 9032123237 Practice locations: Warwick, RI

National Provider Directory

National Provider Directory

Locations

49 State Rd
Bldg Sui
North Dartmouth, MA 02747
Phone (508) 689-4083

400 Bald Hill Rd
Ste 503
Warwick, RI 02886
Phone (401) 738-7750

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1215920327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "STE 503",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-738-7750",
            "fax_number": "401-738-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BALD HILL RD",
            "address_2": "STE 503",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861617",
            "telephone_number": "401-738-7750",
            "fax_number": "401-738-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE INSTITUTE OF NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "GALLUCCI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "401-738-7750",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21286-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NITP",
            "identifier": "24240",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FA35314",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.