Individual provider Active NPI

Sherwin M Tucker, DPM

  • Podiatrist
  • Hartford, CT
National Provider Identifier
1336156124
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P00322 Issued in CT
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000263 CT Practitioner - Podiatry 9234138702 Reassigns benefits to 1 organization

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
First Choice Health Centers IncGroup PAC ID 2769417609, 39 clinicians

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

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Health Centers, Inc. CurrentSince Sep 16, 2023 Accepting new patients
First Choice Health Centers, Inc. Current Accepting new patients
First Choice Health Centers, Inc. CurrentSince Sep 16, 2023 Accepting new patients
Associated Podiatrists of North Haven PastSince Sep 1, 2007 Accepting new patients
Associated Podiatrist of Fairfield, LLC Podiatrist Past Accepting new patients
Advanced Podiatric Specialists, PC Podiatrist PastSince Aug 27, 1992 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.

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

Verify at the official NPI Registry.