Individual provider Active NPI

Judson Lewis Siegel, DPM

  • Podiatrist
  • Marlborough, MA
National Provider Identifier
1497861587
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2090 Issued in MA
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

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0316610MedicaidMA

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
I20050816000411 MA Practitioner - Podiatry 5890725287 Reassigns benefits to 2 organizations
Practice locations: Marlborough, MA; N Attleboro, MA; Somerset, MA

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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue3437
Removal or shaving of skin growth345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2090MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Jul 5, 2017 Accepting new patients
Assabet Family Podiatry, Inc Podiatrist CurrentSince May 7, 2009 Accepting new patients
Erickson Health Medical Group of Massachusetts PC Podiatrist CurrentSince Jul 5, 2017 Accepting new patients
Judson L. Siegel, DPM PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.