Individual provider Active NPI

James J Cloutier, D.P.M.

  • Podiatrist
  • Woonsocket, RI
National Provider Identifier
1487601977
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
270 Issued in RI
Practice address
919 Diamond Hill Rd
Woonsocket, RI 02895-1457
Phone
(401) 766-4444
Fax
(401) 765-4445
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 270 RI Primary

Addresses

Primary practice location

919 Diamond Hill Rd
Woonsocket, RI 02895-1457

Mailing address

919 Diamond Hill Rd
Woonsocket, RI 02895-1457
Phone (401) 766-4444

Other identifiers 2

IdentifierTypeStateIssuer
9007064MedicaidRI
480033470OtherRIRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI2 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
I20041110000172 RI Practitioner - Podiatry 0345203568 Reassigns benefits to 1 organization
O20100930090579 RI DME Supplier - Physician - PodiatryDME Supplier - Medical Supply Company With Orthotic Personnel 3375663842 Practice locations: Woonsocket, RI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

919 Diamond Hill Rd
Woonsocket, RI 02895-1457
Phone (401) 766-4444

Hospital & facility affiliations

  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

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 tissue317
Removal of skin lesions1-10
Removal of nail tissue8276
Removal or shaving of skin growth2862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
270RIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
James J Cloutier DPM, LTD Podiatrist CurrentSince Oct 12, 2016 Accepting new patients

Locations

919 Diamond Hill Rd
Woonsocket, RI 02895
Phone (401) 766-4444

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.

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1487601977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 DIAMOND HILL RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951457",
            "telephone_number": "401-766-4444",
            "fax_number": "401-765-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 DIAMOND HILL RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951457",
            "telephone_number": "401-766-4444",
            "fax_number": "401-765-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTIER",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007064",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "480033470",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.