Individual provider Active NPI

Dennis Jay Gould, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Ithaca, NY
National Provider Identifier
1508083163
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N004296-1 Issued in NY
Practice address
270 North Geneva St
Ithaca, NY 14850
Phone
(607) 272-2610
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N004296-1 NY Primary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005885 PA

Addresses

Primary practice location

270 North Geneva St
Ithaca, NY 14850

Mailing address

7 Woodland Ave
Binghamton, NY 13903

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
I20130327000476 NY Practitioner - Podiatry 6406947795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 N Geneva St
Ithaca, NY 14850-4193
Phone (607) 272-2610

531 W State St
Ithaca, NY 14850-5221
Phone (607) 272-2610

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 tissue1-10
Removal of skin lesions1-10
Removal of nail tissue2724
Removal or shaving of skin growth1025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4296NYMDOptometrist
N004296-1NYMDPrimary Podiatric Medicine Podiatrist
004296NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis Gould DPM PLLC Foot & Ankle Surgery CurrentSince Oct 22, 2012 Accepting new patients
Tier Podiatric Home Care PLLC CurrentSince May 5, 2015 Accepting new patients
Family Medicine of Tuscaloosa, LLC Past Accepting new patients
Anz Gould Investments, Inc. Primary Podiatric Medicine Past Accepting new patients
The Radiology Clinic LLC Past Accepting new patients
Port Richmond Family Foot Care,PC Past Accepting new patients
Port Richmond Podiatry LLC. Primary Podiatric Medicine PastSince Sep 5, 2021 Accepting new patients
Alabama Nursing Home Foot Care Primary Podiatric Medicine Past Accepting new patients

Locations

531 W State St
Ithaca, NY 14850
Phone (607) 272-2610

2230 N Triphammer Rd
Ithaca, NY 14850
Phone (607) 266-5300

Organizations & group practices 8

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1508083163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WOODLAND AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 NORTH GENEVA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-272-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "DENNIS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004296-1",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.