Individual provider Active NPI

Maurice A Palucci, DPM

  • Foot Surgery Podiatrist
  • Webster, NY
National Provider Identifier
1477511558
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005185-1 Issued in NY
Practice address
45 North Ave
Webster, NY 14580-3054
Phone
(585) 872-6520
Fax
(585) 872-6357
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NOO5185 NY
Foot Surgery Podiatrist 213ES0131X N005185-1 NY Primary

Addresses

Primary practice location

45 North Ave
Webster, NY 14580-3054

Mailing address

45 North Ave
Webster, NY 14580-3054
Phone (585) 872-6520

Other identifiers 1

IdentifierTypeStateIssuer
016227335MedicaidNY

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
I20101123001056 NY Practitioner - Podiatry 8820203854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Podiatry GroupGroup PAC ID 7911965009, 2 clinicians

Practice addresses (Care Compare)

200 White Spruce Blvd
Rochester, NY 14623-1605
Phone (585) 424-6800

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
Removal of tissue149
Removal of skin lesions1-10
Removal of nail tissue180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005185NYMDAcupuncturist
NOO5185NYMDPodiatrist
N005185-1NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Podiatry Group Foot Surgery CurrentSince Mar 1, 1998 Accepting new patients

Locations

200 White Spruce Blvd
Ste 134
Rochester, NY 14623
Phone (585) 427-0270

200 White Spruce Blvd
Rochester, NY 14623
Phone (585) 292-0040

2800 Spencerport Rd
Ste A6
Spencerport, NY 14559
Phone (585) 872-6520

45 North Ave
Rear
Webster, NY 14580
Phone (585) 872-1729

45 North Ave
Webster, NY 14580
Phone (585) 872-6520

Interoperability endpoints

  • Direct secure messaging: podiatry@monroe.medicalservices.net

Organizations & group practices 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1477511558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803054",
            "telephone_number": "585-872-6520",
            "fax_number": "585-872-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NORTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803054",
            "telephone_number": "585-872-6520",
            "fax_number": "585-872-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUCCI",
        "first_name": "MAURICE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "NOO5185",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005185-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016227335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.