Active NPI
Judson Lewis Siegel, DPM
- Podiatrist
- Marlborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 2090
- Practice address
- 340 Maple St
Ste 405
Marlborough, MA 01752 - Phone
- (508) 481-3659
- Fax
- (508) 460-9728
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2090 | MA | Primary |
Addresses
Primary practice location
340 Maple St
Ste 405
Marlborough, MA 01752
Mailing address
15 Matthew Road
Cumberland, RI 02864
Phone (401) 475-3531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0316610 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Linden Ponds Way
Hingham, MA 02043-3791
Phone (781) 534-7100
340 Maple St
Suite 405
Marlborough, MA 01752-3200
Phone (508) 481-3659
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 3437 |
| Removal or shaving of skin growth | 345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of Massachusetts PC | Current | Accepting new patients | |
| Assabet Family Podiatry, Inc | Podiatrist | Current | Accepting new patients |
| Erickson Health Medical Group of Massachusetts PC | Podiatrist | Current | Accepting new patients |
| Judson L. Siegel, DPM | Past | Accepting new patients |
Locations
300 Linden Ponds Way
Hingham, MA 02043
Phone (781) 534-7100
340 Maple St
Ste 405
Marlborough, MA 01752
Phone (508) 303-8188
100 Brooksby Village Dr
Peabody, MA 01960
Phone (978) 536-2150
7 Wilkens Dr
Plainville, MA 02762
Phone (508) 643-7050
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1164442919
Podiatrist
-
- Podiatrist
- Marlborough, MA
- NPI 1033351770
-
- Foot & Ankle Surgery Podiatrist
- Marlborough, MA
- NPI 1609045905
-
- Durable Medical Equipment & Medical Supplies
- Hingham, MA
- NPI 1740436187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1497861587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MATTHEW ROAD",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "02864",
"telephone_number": "401-475-3531",
"fax_number": "508-460-9728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 MAPLE ST",
"address_2": "STE 405",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "01752",
"telephone_number": "508-481-3659",
"fax_number": "508-460-9728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "JUDSON",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0316610",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.