Individual provider Active NPI

James T Clancy, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Atlantis, FL
National Provider Identifier
1346294576
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1903 Issued in FL
Practice address
180 JFK Dr
Atlantis, FL 33462-6641
Phone
(561) 967-6500
NPI assigned
May 20, 2006
Last updated
Oct 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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 PO1903 FL Primary

Addresses

Primary practice location

180 JFK Dr
Atlantis, FL 33462-6641

Mailing address

180 JFK Dr
Atlantis, FL 33462-6641
Phone (561) 967-6500

Other identifiers 1

IdentifierTypeStateIssuer
000170700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100115000865 FL Practitioner - Podiatry 4789726589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

180 JFK Dr
Suite 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1903FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC Foot & Ankle Surgery CurrentSince Feb 13, 1988 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Feb 13, 1988 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopedic Center of Palm Beach County, Inc. Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668

4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622

10275 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 300-1400

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone (561) 697-6500

4601 Military Trl
Ste 209
Jupiter, FL 33458
Phone (561) 781-8210

180 John F Kennedy Dr
Ste 100
Lake Worth, FL 33462

4801 S Congress Ave
Palm Springs, FL 33461
Phone (407) 967-6500

1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500

Interoperability endpoints

  • Direct secure messaging: james.clancy.1@26475.direct.athenahealth.com

Organizations & group practices 4

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.

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1346294576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-423-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "JAMES",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000170700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.