Jacob A Panici, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

635 Issued in NC

Practice address

103 Parkway Office CT Ste 100
Cary, NC 27518-7429

Phone

(919) 481-3338

NPI assigned

Jul 19, 2013

Last updated

Aug 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Instride Foot and Ankle Specialists, PLLCGroup PAC ID 7012168271, 46 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.95 of 100Reported as group

Promoting interoperability

87

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jpanici@usfas.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Instride Foot and Ankle Specialists, PLLC

  • Primary Podiatric Medicine Podiatrist
  • Concord, NC
  • NPI 1457601601
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1255773222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 GLENWOOD AVE",
            "address_2": "GLENWOOD AVENUE FOOT AND ANKLE, PLLC",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082368",
            "telephone_number": "919-829-0076",
            "fax_number": "919-836-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE CT STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187429",
            "telephone_number": "919-481-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICI",
        "first_name": "JACOB",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "635",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "635",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4861725",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Oxygen, LLC
• Pamela Hartsfield PLLC
• Patricia Ann Pande, P.T.
• John Carl Panepinto, LPC
• Vanessa Pang, RN, IBCLC
• Aaron G Panicker, MD
• Ann Marie Pannell, MA CCC-SLP
• Narineh Panoosian-Hajiabadi, DMD
• Antonia Jay Pantesco, PA-C
• William Panzo, PA

• Primary Podiatric Medicine Podiatrist in Cary, NC
• Providers in Cary, NC by specialty
• Primary Podiatric Medicine Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.

Verify at the official NPI Registry.