Individual provider Active NPI

Ronald A Washington, D.P.M.

  • Podiatrist
  • Smithtown, NY
National Provider Identifier
1366444317
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003650 Issued in NY
Practice address
49 Spruce St
Smithtown, NY 11787-1028
Phone
(631) 360-3344
Fax
(631) 724-8344
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003650 NY Primary

Addresses

Primary practice location

49 Spruce St
Smithtown, NY 11787-1028

Mailing address

49 Spruce St
Smithtown, NY 11787-1028
Phone (631) 360-3344

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
I20041028001069 NY Practitioner - Podiatry 0749242006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003650NYMDCounselor
N003650NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cohn Plastic Surgery, PC CurrentSince Mar 30, 2024 Accepting new patients
Sound Foot Care PC CurrentSince Aug 1, 2007 Accepting new patients
Dev R Chitkara M.D. P.C. Past Accepting new patients

Locations

2 Brooksite Dr
Ste 230
Smithtown, NY 11787
Phone (516) 606-7784

29 Manor Rd
Smithtown, NY 11787
Phone (631) 265-8873

Interoperability endpoints

  • Direct secure messaging: rwashington18619@direct-chsli.net

Organizations & group practices 3

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1366444317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 SPRUCE ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871028",
            "telephone_number": "631-360-3344",
            "fax_number": "631-724-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SPRUCE ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871028",
            "telephone_number": "631-360-3344",
            "fax_number": "631-724-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.