Active NPI
James T Pascalides, DPM
- Foot & Ankle Surgery Podiatrist
- Providence, RI
National Provider Identifier
1285726620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- DPM00179
- Practice address
- 235 Plain St
Suite 201
Providence, RI 02905-3240 - Phone
- (401) 861-8830
- Fax
- (401) 351-2378
- NPI assigned
- Sep 29, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | DPM00179 | RI | Primary |
Addresses
Primary practice location
235 Plain St
Suite 201
Providence, RI 02905-3240
Mailing address
235 Plain St
Suite 201
Providence, RI 02905-3240
Phone (401) 861-8830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9007255 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1446 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| DPM00179 | RI | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1285726620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 201",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053240",
"telephone_number": "401-861-8830",
"fax_number": "401-351-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 PLAIN ST",
"address_2": "SUITE 201",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029053240",
"telephone_number": "401-861-8830",
"fax_number": "401-351-2378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCALIDES",
"first_name": "JAMES",
"middle_name": "T",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "RI",
"license": "DPM00179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9007255",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.