Individual provider Active NPI

Ryan L. D'Amico, D.P.M.

  • Podiatrist
  • East Syracuse, NY
National Provider Identifier
1578880522
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006349 Issued in NY
Practice address
7075 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone
(315) 446-3668
Fax
(315) 849-1182
NPI assigned
Apr 30, 2010
Last updated
May 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006349 NY Primary
Foot Surgery Podiatrist 213ES0131X 65 006349 NY

Addresses

Primary practice location

7075 Manlius Center Rd
East Syracuse, NY 13057-2607

Mailing address

7075 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone (315) 446-3668

Other identifiers 1

IdentifierTypeStateIssuer
03294906MedicaidNY

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
I20101101000610 NY Practitioner - Podiatry 0648464958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Damico DPM PLLCGroup PAC ID 0345485421, 5 clinicians

Practice addresses (Care Compare)

7075 Manlius Ctr Rd
East Syracuse, NY 13057-2607
Phone (315) 446-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.29 of 100Reported as group
Quality
92.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue159
Removal of skin lesions93
Removal of nail tissue1252
Removal or shaving of skin growth1021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006349NYMDAcupuncturist
65 006349NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan D'Amico DPM PLLC Podiatrist CurrentSince Dec 8, 2012 Accepting new patients

Locations

7075 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 446-3668

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1578880522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "315-446-3668",
            "fax_number": "315-849-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "315-446-3668",
            "fax_number": "315-849-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "RYAN",
        "middle_name": "L.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006349",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "65 006349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03294906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.