Dominic John Roda, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DPM00342 Issued in RI

Practice address

41 Sanderson Rd
Ste 207
Smithfield, RI 02917-2602

Phone

(401) 949-3220

NPI assigned

Jul 14, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prospect Chartercare Sjhsri LLCGroup PAC ID 7315179314, 32 clinicians

Carelink, Inc.Group PAC ID 4688751522, 3 clinicians

David M. Colannino, DPM, Inc.Group PAC ID 1052341195, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
• Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
• The Miriam Hospital Hospital, Providence, RI, CCN 410012

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: droda@gfaas-ri.direct.office.nextgen.com

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.

• Carelink, Inc.

  • Physical Therapist
  • East Providence, RI
  • NPI 1386827889
  Medicare reassignment Care Compare group NPD
• David M. Colannino, DPM, Inc.

  • Podiatrist
  • Smithfield, RI
  • NPI 1740355379

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Prospect Chartercare Sjhsri, LLC

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1588089759
  Medicare reassignment Care Compare group NPD
• Chartercare Our Lady of Fatima Hospital

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1346079209
  Medicare reassignment NPD
• Carelink, Inc.

  • Psychiatry Physician
  • East Providence, RI
  • NPI 1811591597
  NPD
• Chartercare Our Lady of Fatima Hospital

  • Cardiovascular Disease Physician
  • North Providence, RI
  • NPI 1255160115
  NPD
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  NPD

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

• Prospect Chartercare RWMC, LLC

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1013332014
  Care Compare affiliation
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1407144264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SYMONDS AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028893517",
            "telephone_number": "508-685-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD",
            "address_2": "STE 207",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172602",
            "telephone_number": "401-949-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODA",
        "first_name": "DOMINIC",
        "middle_name": "JOHN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI STATE LICENSE",
            "identifier": "DPM00342",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RHODE ISLAND LIMITED LISCENSE NUMBER",
            "identifier": "CLPR00104",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhode Island CVS Pharmacy LLC
• Ri Med Transportation LLC
• Laurie Ann Richards-Farnsworth, RD
• Robitaille & Associates, LLC
• Sarah Robitaille
• Ryan Dalton Rossi, M.D.
• Michelle L Ryan, M.A., C.A.G.S.
• Sage Psychotherapy, LLC
• Matthew Salvatore, DPT
• Laura Michelle Sanchez

• Foot & Ankle Surgery Podiatrist in Smithfield, RI
• Providers in Smithfield, RI by specialty
• Foot & Ankle Surgery Podiatrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.