Individual provider Active NPI

George Ducach, DPM

  • Podiatrist
  • Quincy, MA
National Provider Identifier
1467427484
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1762 Issued in MA
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

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000637 MA Practitioner - Podiatry 4385653666 Reassigns benefits to 2 organizations

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
J W Podiatry PCGroup PAC ID 9133137920, 4 clinicians

Practice addresses (Care Compare)

22 Christy Dr
Suite 5
Brockton, MA 02301-1839
Phone (508) 586-4444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue83
Removal or shaving of skin growth42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1762MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J W Podiatry PC CurrentSince Oct 1, 2024 Accepting new patients
Foot Specialists of New England PLLC Podiatrist CurrentSince Jul 15, 2022 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFECAA/Endpoint/FFECAA
  • FHIR API: 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.

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

Verify at the official NPI Registry.