Individual provider Active NPI

Daniel T Smith, DPM

  • Podiatrist
  • Liverpool, NY
National Provider Identifier
1417044751
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005860 Issued in NY
Practice address
8132B Oswego Rd
Liverpool, NY 13090-1500
Phone
(315) 546-0285
Fax
(315) 546-0289
NPI assigned
Oct 6, 2006
Last updated
Aug 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005860 NY Primary

Addresses

Primary practice location

8132B Oswego Rd
Liverpool, NY 13090-1500

Mailing address

8132B Oswego Rd
Liverpool, NY 13090-1500
Phone (315) 546-0285

Other identifiers 2

IdentifierTypeStateIssuer
02299154MedicaidNY
J400001535OtherNYMEDICARE PTAN

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
I20040609001272 NY Practitioner - Podiatry 4981687126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Podiatry Center LLPGroup PAC ID 9739083270, 7 clinicians

Practice addresses (Care Compare)

27 Fennell St
Suite 2
Skaneateles, NY 13152-1158
Phone (315) 685-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.81 of 100Reported as group
Quality
77.26
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue132
Removal of skin lesions58
Removal of nail tissue1643
Removal or shaving of skin growth689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005860NYMDPodiatrist
005860NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Podiatry Center LLP Podiatrist CurrentSince Aug 18, 2008 Accepting new patients
Loretto Rest Realty Corporation PastSince Nov 13, 2015 Accepting new patients
Foot Specialists of Cny PC Podiatrist Past Accepting new patients

Locations

5104 W Genesee St
Fl 1
Camillus, NY 13031
Phone (315) 701-3348

7458 Oswego Rd
Liverpool, NY 13090
Phone (315) 546-0285

8132B Oswego Rd
Liverpool, NY 13090
Phone (315) 546-0285

27 Fennell St
Skaneateles, NY 13152
Phone (315) 685-3338

27 Fennell St
Ste 2
Skaneateles, NY 13152
Phone (315) 685-3338

Interoperability endpoints

  • Direct secure messaging: dansmith@westsidepodiatry.medentdirect.com

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.

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1417044751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132B OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901500",
            "telephone_number": "315-546-0285",
            "fax_number": "315-546-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132B OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901500",
            "telephone_number": "315-546-0285",
            "fax_number": "315-546-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02299154",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "J400001535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.