Individual provider Active NPI

Irina B. Vasserman, D.P.M.

  • Foot Surgery Podiatrist
  • Canton, MA
National Provider Identifier
1255411070
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1982 Issued in MA
Practice address
510 Chapman St
Suite 1B
Canton, MA 02021-2096
Phone
(781) 575-1454
Fax
(781) 575-1455
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1982 MA
Foot Surgery Podiatrist 213ES0131X 1982 MA Primary

Addresses

Primary practice location

510 Chapman St
Suite 1B
Canton, MA 02021-2096

Mailing address

510 Chapman St
Canton, MA 02021-2096
Phone (781) 575-1454

Other identifiers 9

IdentifierTypeStateIssuer
333065OtherMAHPHC
728979OtherMATUFTS
B20429901OtherMACIGNA
4523040001OtherMADME
0357863MedicaidMA
2700320OtherMAUNITED HEALTH CARE
Y70960OtherMABCBS
480033203OtherMARRM
980614OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20040825000525 MA Practitioner - Podiatry 3678547593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 Chapman St
1A
Canton, MA 02021-2096
Phone (781) 575-1454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as individual
Quality
74.2
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue91
Removal of skin lesions50
Removal of nail tissue1141
Removal or shaving of skin growth85
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1983MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Town Podiatry, P.C. Podiatrist CurrentSince Jan 10, 2003 Accepting new patients

Locations

22 Mill St
Ste 207
Arlington, MA 02476
Phone (617) 396-7513

209 Harvard St
Ste 308
Brookline, MA 02446
Phone (617) 232-6964

510 Chapman St
#1A
Canton, MA 02021
Phone (781) 575-1454

510 Chapman St
Ste 1A
Canton, MA 02021
Phone (781) 575-1454

510 Chapman St
Canton, MA 02021
Phone (617) 916-5116

510 Chapman St
Ste 1B
Canton, MA 02021
Phone (781) 575-1454

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9291/brand/1/csg/1/fhir/r4
  • Direct secure messaging: irina.vasserman.1@9291.direct.athenahealth.com

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 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1255411070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CHAPMAN ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212096",
            "telephone_number": "781-575-1454",
            "fax_number": "781-575-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CHAPMAN ST",
            "address_2": "SUITE 1B",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212096",
            "telephone_number": "781-575-1454",
            "fax_number": "781-575-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASSERMAN",
        "first_name": "IRINA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1982",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "333065",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "728979",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "B20429901",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "4523040001",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0357863",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2700320",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y70960",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "480033203",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "980614",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.