Active NPI
Sherwin M Tucker, DPM
- Podiatrist
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- P00322
- Practice address
- 500 Albany Ave
Hartford, CT 06120-2508 - Phone
- (860) 249-9625
- Fax
- (203) 757-3990
- NPI assigned
- Aug 2, 2006
- Last updated
- May 24, 2021
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P00322 | CT | Primary |
Addresses
Primary practice location
500 Albany Ave
Hartford, CT 06120-2508
Mailing address
PO Box 370465
West Hartford, CT 06137-0465
Phone (860) 236-6787
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359263
265 Ellington Rd
East Hartford, CT 06108-1176
Phone (860) 610-6191
809 Main St
East Hartford, CT 06108-3142
Phone (860) 610-6131
92 Connecticut Blvd
East Hartford, CT 06108-3013
Phone 8605281359129
94 Connecticut Blvd
East Hartford, CT 06108-3013
Phone (860) 528-1359
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| First Choice Health Centers, Inc. | Current | Accepting new patients | |
| Associated Podiatrists of North Haven | Past | Accepting new patients | |
| Associated Podiatrist of Fairfield, LLC | Podiatrist | Past | Accepting new patients |
| Advanced Podiatric Specialists, PC | Podiatrist | Past | Accepting new patients |
Locations
94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191
150 N Main St
Manchester, CT 06042
Phone (860) 533-3434
150 N Main St
Ste 240
Manchester, CT 06042
Phone (860) 610-6191
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215923131
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1215518733
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1891101473
-
- Podiatrist
- Waterbury, CT
- NPI 1831292804
-
- Foot Surgery Podiatrist
- Fairfield, CT
- NPI 1700985835
-
- Foot Surgery Podiatrist
- North Haven, CT
- NPI 1295850204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1336156124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370465",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061370465",
"telephone_number": "860-236-6787",
"fax_number": "860-371-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202508",
"telephone_number": "860-249-9625",
"fax_number": "203-757-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "SHERWIN",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "P00322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.