Active NPI
George Ducach, DPM
- Podiatrist
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1762
- Practice address
- 500 Congress St
Quincy, MA 02169-0908 - Phone
- (617) 471-0033
- Fax
- (617) 770-4354
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1762 | MA | Primary |
Addresses
Primary practice location
500 Congress St
Quincy, MA 02169-0908
Mailing address
500 Congress St
Quincy, MA 02169-0908
Phone (617) 471-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Christy Dr
Suite 5
Brockton, MA 02301-1839
Phone (508) 586-4444
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 83 |
| Removal or shaving of skin growth | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1762 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J W Podiatry PC | Current | Accepting new patients | |
| Foot Specialists of New England PLLC | Podiatrist | Current | Accepting new patients |
Locations
22 Christy Dr
Ste 5
Brockton, MA 02301
Phone (508) 586-4444
1261 Furnace Brook Pkwy
Ste 18
Quincy, MA 02169
Phone (617) 773-4300
449 Route 130
Ste 5
Sandwich, MA 02563
Phone (508) 888-8338
20 Hope Ave
Ste 102
Waltham, MA 02453
Phone (617) 244-5355
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FFECAA/Endpoint/FFECAA
- https://fhir4.healow.com/fhir/r4/FFECAA
Organizations & group practices 2
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.
-
- Foot Surgery Podiatrist
- Brockton, MA
- NPI 1629294020
-
- Primary Podiatric Medicine Podiatrist
- Waltham, MA
- NPI 1659023026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1467427484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CONGRESS ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690908",
"telephone_number": "617-471-0033",
"fax_number": "617-770-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CONGRESS ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690908",
"telephone_number": "617-471-0033",
"fax_number": "617-770-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCACH",
"first_name": "GEORGE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.