Individual provider Active NPI

Keith Richard Michael Sherman, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Syracuse, NY
National Provider Identifier
1336662246
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007166 Issued in NY
Practice address
7075 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone
(315) 446-3668
NPI assigned
Jul 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N007166 NY Primary

Addresses

Primary practice location

7075 Manlius Center Rd
East Syracuse, NY 13057-2607

Mailing address

7075 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone (914) 488-4802

Other practice location 1

3 Garvey Rd
Framingham, MA 01701-3069
Phone (914) 488-4802

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001638 NY Practitioner - Podiatry 3577966522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Damico DPM PLLCGroup PAC ID 0345485421, 5 clinicians

Practice addresses (Care Compare)

7075 Manlius Ctr Rd
East Syracuse, NY 13057-2607
Phone (315) 446-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.29 of 100Reported as group
Quality
92.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue209
Removal of skin lesions41
Removal of nail tissue875
Removal or shaving of skin growth448
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N007166NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan D'Amico DPM PLLC CurrentSince Aug 17, 2021 Accepting new patients

Locations

7075 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 446-3668

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336662246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "914-488-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "315-446-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Garvey Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017013069",
            "country_code": "US",
            "telephone_number": "914-488-4802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KEITH",
        "middle_name": "RICHARD MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.