Individual provider Active NPI

Daphne Robert, DPM

  • Podiatrist
  • Boston, MA
National Provider Identifier
1306138086
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2400 Issued in MA
Practice address
732 Harrison Ave BLDG 5TH
Boston, MA 02118-2309
Phone
(617) 414-6821
NPI assigned
May 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 390200000X MA
Podiatrist 213E00000X 2400 MA Primary

Addresses

Primary practice location

732 Harrison Ave BLDG 5TH
Boston, MA 02118-2309

Mailing address

100 Crossing Blvd
Framingham, MA 01702-5555
Phone (888) 964-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, 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
I20140207001360 NH Practitioner - Podiatry 2567691868 Reassigns benefits to 3 organizations
I20140228001839 MA Practitioner - Podiatry 2567691868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Netherwood Rd
Windham, NH 03087-1234
Phone (603) 202-1662

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1221
Removal or shaving of skin growth21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
390200000XMAMDDiagnostic Radiology Physician
0344NHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Sep 16, 2013 Accepting new patients
Azure Healthcare Services LLC Podiatrist CurrentSince Nov 1, 2024 Accepting new patients
Brian D Tedesco, DPM & George a Abboud, DPM PC Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Jan 1, 2014 Accepting new patients
Brian D Tedesco, DPM & George a Abboud, DPM PC Podiatrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

100 Crossing Blvd
Framingham, MA 01702

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

888 Worcester St
Ste 130
Wellesley, MA 02482
Phone (857) 255-0293

276 County Farm Rd
Dover, NH 03820
Phone (603) 516-4166

44 W Webster St
Manchester, NH 03104
Phone (603) 547-5900

255 Main St
Nashua, NH 03060
Phone (603) 459-8760

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1306138086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSING BLVD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017025555",
            "telephone_number": "888-964-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HARRISON AVE BLDG 5TH",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182309",
            "telephone_number": "617-414-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERT",
        "first_name": "DAPHNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.