Individual provider Active NPI

Robert E Gallucci, DPM

  • Podiatrist
  • Warwick, RI
National Provider Identifier
1275528549
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM 00255 Issued in RI
Practice address
400 Bald Hill Rd
Ste 503
Warwick, RI 02886-1617
Phone
(401) 738-7750
Fax
(401) 738-9750
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM 00255 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 practice location 1

850 Aquidneck Ave Ste A3
Middletown, RI 02842-7280
Phone (401) 217-4444

Other identifiers 3

IdentifierTypeStateIssuer
21286-7OtherRIBLUE CROSS
7008421MedicaidRI
203859OtherRIBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20120131000050 RI Practitioner - Podiatry 0042316671 Reassigns benefits to 1 organization
I20140728000471 MA Practitioner - Podiatry 0042316671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Institute of New EnglandGroup PAC ID 9032123237, 2 clinicians

Practice addresses (Care Compare)

400 Bald Hill Rd
Suite 503
Warwick, RI 02886-1692
Phone (401) 738-7750

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 tissue26
Removal of skin lesions1-10
Removal of nail tissue501
Removal or shaving of skin growth318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM 00255RIMDPodiatrist
1942MAMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: rgallucci@kent.cernerdirect.carene.org

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 3

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1275528549",
    "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": [
        {
            "address_1": "850 Aquidneck Ave Ste A3",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "RI",
            "postal_code": "028427280",
            "country_code": "US",
            "telephone_number": "401-217-4444",
            "fax_number": "401-619-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM 00255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "21286-7",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008421",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "203859",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.