Individual provider Active NPI

Parker Gennett, DPM

  • Podiatrist
  • Binghamton, NY
National Provider Identifier
1467450429
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005004 Issued in NY
Practice address
134 Riverside Dr
Binghamton, NY 13905-4219
Phone
(607) 723-9018
Fax
(607) 723-0715
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005004 NY Primary

Addresses

Primary practice location

134 Riverside Dr
Binghamton, NY 13905-4219

Mailing address

100 Foster Rd
Vestal, NY 13850-5412
Phone (607) 786-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100429000016 NY Practitioner - Podiatry 3779610431 Practice locations: Vestal, NY; Johnson City, NY; Binghamton, NY
O20100930032051 NY DME Supplier - Physician - Podiatry 4486774247 Practice locations: Binghamton, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 723-9018

134 Riverside Dr
Binghamton, NY 13905-4267
Phone (607) 723-9018

169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 723-9018

200 Front St
Vestal, NY 13850-1559
Phone (607) 239-5012

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)34
Melanoma (skin cancer) excision1-10
Removal of tissue38
Removal of skin lesions188
Removal of nail tissue3512
Removal or shaving of skin growth1009
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
N005004NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC Past Accepting new patients
United Health Services Hospitals, Inc. PastSince Jan 1, 2010 Accepting new patients

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.

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1467450429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FOSTER RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138505412",
            "telephone_number": "607-786-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 RIVERSIDE DR",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054219",
            "telephone_number": "607-723-9018",
            "fax_number": "607-723-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNETT",
        "first_name": "PARKER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.