Active NPI
Stephen J Rogers, DPM
- Foot & Ankle Surgery Podiatrist
- Warwick, RI
National Provider Identifier
1245238385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM2323
- Practice address
- 400 Bald Hill Rd
Ste 503
Warwick, RI 02886-1617 - Phone
- (401) 738-7750
- Fax
- (401) 738-9750
- NPI assigned
- Jul 12, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM00279 | RI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM2323 | MA | Primary |
Addresses
Primary practice location
400 Bald Hill Rd
Ste 503
Warwick, RI 02886-1617
Mailing address
400 Bald Hill Rd
Suite 503
Warwick, RI 02886-1617
Phone (401) 738-7750
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005625 | Medicaid | RI | |
| 212867 | Other | RI | BLUE CROSS |
| 401295 | Other | RI | BLUECHIP |
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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Bald Hill Rd
Suite 503
Warwick, RI 02886-1692
Phone (401) 738-7750
49 State Rd
North Dartmouth, MA 02747-3322
Phone (508) 689-4083
Hospital & facility affiliations
- Newport Hospital
- Southcoast Hospitals Group
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM00279 | RI | MD | Podiatrist |
| DPM2323 | MA | MD | Foot & Ankle Surgery Podiatrist |
| 2323 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Past | Accepting new patients | |
| Victorian Eye Care Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Optometrist
- West Warwick, RI
- NPI 1194043000
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1245238385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BALD HILL RD",
"address_2": "SUITE 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": {
"last_name": "ROGERS",
"first_name": "STEPHEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "RI",
"license": "DPM00279",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "DPM2323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005625",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "212867",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "401295",
"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 Jun 3, 2016; 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.