Individual provider Active NPI

Alicia Ramona Guidone, D.P.M.

  • Podiatrist
  • Madison, CT
National Provider Identifier
1396734059
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000694 Issued in CT
Practice address
141 Durham Rd
#15
Madison, CT 06443-2676
Phone
(203) 640-0385
Fax
(203) 453-6916
NPI assigned
Oct 17, 2005
Last updated
May 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000694 CT Primary

Addresses

Primary practice location

141 Durham Rd
#15
Madison, CT 06443-2676

Mailing address

101 Half Mile Rd
Guilford, CT 06437-4101
Phone (203) 640-0385

Other identifiers 1

IdentifierTypeStateIssuer
480001011OtherCTST RAPHAEL FACULTY PHYSICIAN MEDICINE

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
I20070508000406 CT Practitioner - Podiatry 6305942376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

149 Durham Rd
Suite 25
Madison, CT 06443-2664
Phone (203) 421-6239

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue31
Removal of skin lesions71
Removal of nail tissue107
Removal or shaving of skin growth77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000694CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia R Guidone, DPM LLC CurrentSince Jun 28, 2011 Accepting new patients
Jeffrey T. Novak, DPM, PC PastSince Dec 12, 2021 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

149 Durham Rd
Ste 25
Madison, CT 06443
Phone (203) 318-3050

Interoperability endpoints

  • Direct secure messaging: alicia.guidone.1@12272.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12272/brand/1/csg/1/fhir/r4

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, 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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1396734059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HALF MILE RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374101",
            "telephone_number": "203-640-0385",
            "fax_number": "203-453-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DURHAM RD",
            "address_2": "#15",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432676",
            "telephone_number": "203-640-0385",
            "fax_number": "203-453-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDONE",
        "first_name": "ALICIA",
        "middle_name": "RAMONA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST RAPHAEL FACULTY PHYSICIAN MEDICINE",
            "identifier": "480001011",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.