Jesse Patrick Parks, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000832 Issued in CT

Practice address

32 Cherry St
Milford, CT 06460-3429

Phone

(203) 874-6755

Fax

(203) 877-7849

NPI assigned

Apr 29, 2008

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Milford Podiatry Associates PCGroup PAC ID 8123118056, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Stratford Vna Home health agency, Stratford, CT, CCN 077001
• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score

90.82 of 100Reported as individual

Quality

69.82

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jparks4206@direct.ynhh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Milford Podiatry Associates, P.C.

  dba New Haven Foot Surgeons

  • Podiatrist
  • Milford, CT
  • NPI 1437347754
  Medicare reassignment Care Compare group NPD
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD
• Milford Podiatry Associates PC

  dba Connecticut Foot Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Milford, CT
  • NPI 1184788861
  NPD
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)
• Saint Raphael Healthcare System Affiliated Physicians Inc

  dba Affiliated Physicians of Saint Raphael

  • Neurology Physician
  • New Haven, CT
  • NPI 1063744001
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation
• Stratford Visiting Nurse Association, Inc.

  • Home Health Agency
  • Stratford, CT
  • NPI 1336178276
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1578738621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603429",
            "telephone_number": "203-874-6755",
            "fax_number": "203-877-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603429",
            "telephone_number": "203-874-6755",
            "fax_number": "203-877-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "JESSE",
        "middle_name": "PATRICK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Pappas, LMSW
• Haley B Parent Ehlers, LPC
• John Parise
• Park Lane Eye Care, Inc
• Park Lane Eye Care, Inc
• Patch Testing Centers of Excellence- Milford
• Darshana H Patel
• Kush Ghanshyam Patel, PA-C
• Mamta Patel, M.D.
• Sanjay Patel, D.P.M.

• Podiatrist in Milford, CT
• Providers in Milford, CT by specialty
• Podiatrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.

Verify at the official NPI Registry.