Active NPI
Richard T Bauer III, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Latham, NY
National Provider Identifier
1306126552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 006435
- Practice address
- 180 Old Loudon Rd
Latham, NY 12110-3905 - Phone
- (518) 608-4587
- Fax
- (518) 608-4768
- NPI assigned
- Aug 19, 2011
- 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 | 006435 | NY | Primary |
Addresses
Primary practice location
180 Old Loudon Rd
Latham, NY 12110-3905
Mailing address
180 Old Loudon Rd
Latham, NY 12110-3905
Phone (518) 608-4587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3773920 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130926000001 | NY | Practitioner - Podiatry | 6103069885 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Richard T Bauer III DPM PLLC
Practice addresses (Care Compare)
180 Old Loudon Rd
Latham, NY 12110-3905
Phone (518) 608-4587
Hospital & facility affiliations
- Saratoga Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 47 |
| Removal of skin lesions | 26 |
| Removal of nail tissue | 188 |
| Removal or shaving of skin growth | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006435 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard T Bauer III DPM PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Samaritan Hospital of Troy, New York | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Past | Accepting new patients |
Locations
180 Old Loudon Rd
Latham, NY 12110
Phone (518) 608-4587
1072 Troy Schenectady Rd
Ste 303
Latham, NY 12110
Phone (518) 713-4484
211 Church St
#1
Saratoga Springs, NY 12866
Phone (518) 583-8304
147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749
147 Hoosick St
Ste 202
Troy, NY 12180
Phone (518) 268-5380
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
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.
-
- Foot & Ankle Surgery Podiatrist
- Latham, NY
- NPI 1295169761
Foot & Ankle Surgery, NY
-
- General Acute Care Hospital
- Albany, NY
- NPI 1467935429
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1306126552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 OLD LOUDON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103905",
"telephone_number": "518-608-4587",
"fax_number": "518-608-4768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 OLD LOUDON RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121103905",
"telephone_number": "518-608-4587",
"fax_number": "518-608-4768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER",
"first_name": "RICHARD",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-19",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "006435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3773920",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.