Individual provider Active NPI

Michael Joseph Biancamano, D.P.M.

  • Podiatrist
  • Whitinsville, MA
National Provider Identifier
1477644946
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1560 Issued in MA
Practice address
993 Providence Rd
Whitinsville, MA 01588-2123
Phone
(508) 234-7334
Fax
(508) 234-7335
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1560 MA Primary

Addresses

Primary practice location

993 Providence Rd
Whitinsville, MA 01588-2123

Mailing address

993 Providence Rd
Whitinsville, MA 01588-2123
Phone (508) 234-7334

Other identifiers 6

IdentifierTypeStateIssuer
0336211MedicaidMA
5312OtherMAFALLON HEALTH PLAN
001560OtherMATUFTS HEALTH PLAN
2703029OtherMAUNITED HEALTH CARE
Y70648OtherMABLUE SHIELD OF MA
2700151OtherMAEVERCARE

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
I20060411000197 MA Practitioner - Podiatry 3678582228 Practice locations: Worcester, MA; Whitinsville, MA; West Boylston, MA; Uxbridhe, MA; Uxbridge, MA; Upton, MA; Oxford, MA; Spencer, MA…

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1560MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richer Soil Counseling LLC PastSince Jan 26, 2020 Accepting new patients
Paul a. Cournoyer D.P.M., P.C. PastSince Jul 1, 2025 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1477644946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882123",
            "telephone_number": "508-234-7334",
            "fax_number": "508-234-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PROVIDENCE RD",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015882123",
            "telephone_number": "508-234-7334",
            "fax_number": "508-234-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCAMANO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336211",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLAN",
            "identifier": "5312",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "001560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2703029",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "Y70648",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "2700151",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitinsville, MA

Sources for this page

Verify at the official NPI Registry.