Individual provider Active NPI

Richard Jay Silverstein, DPM

  • Foot Surgery Podiatrist
  • Havre de Grace, MD
National Provider Identifier
1639174147
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
01306 Issued in MD
Practice address
508 Lafayette Street
Havre de Grace, MD 21078-2107
Phone
(410) 939-2627
Fax
(410) 939-4681
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 01306 MD Primary

Addresses

Primary practice location

508 Lafayette Street
Havre de Grace, MD 21078-2107

Mailing address

PO Box 941
Havre de Grace, MD 21078-0941
Phone (410) 939-2627

Other identifiers 1

IdentifierTypeStateIssuer
291105100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20060314000195 MD Practitioner - Podiatry 5092722215 Reassigns benefits to 1 organization
Practice locations: Havre de Grace, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

508 Lafayette St
Havre de Grace, MD 21078-3557
Phone (410) 939-2627

5101 Lanier Ave
Baltimore, MD 21215-5321
Phone (410) 939-2627

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions21
Removal of nail tissue1223
Removal or shaving of skin growth624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Union Foot Care LLC Foot Surgery CurrentSince Nov 12, 2024 Accepting new patients
Professional Management Services, LLC Past Accepting new patients
Professional Management Services, LLC Past Accepting new patients

Locations

5101 Lanier Ave
Baltimore, MD 21215
Phone (410) 542-7800

508 Lafayette St
Hvre de Grace, MD 21078
Phone (410) 939-2627

Organizations & group practices 3

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1639174147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210780941",
            "telephone_number": "410-939-2627",
            "fax_number": "410-939-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 LAFAYETTE STREET",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782107",
            "telephone_number": "410-939-2627",
            "fax_number": "410-939-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSTEIN",
        "first_name": "RICHARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291105100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.