Active NPI
Richard Gerard Palecki, D.P.M.
- Podiatrist
- New Roads, LA
National Provider Identifier
1639268196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PD165R
- Practice address
- 230 Roberts Dr
Suite G
New Roads, LA 70760-2661 - Phone
- (225) 638-6640
- Fax
- (225) 618-0863
- NPI assigned
- Oct 12, 2006
- Last updated
- Aug 22, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PD165R | LA | Primary |
Addresses
Primary practice location
230 Roberts Dr
Suite G
New Roads, LA 70760-2661
Mailing address
PO Box 575
Livonia, LA 70755-0575
Phone (225) 718-5314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480026913 | Other | RR MCR | |
| 1668842 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Personal Care, LLC # Emerald Health Care LLC Sole MB | Past | Accepting new patients | |
| Coastal Foot Clinic, a P.C. | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- podiatry@inchc.directbygreenway.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- New Roads, LA
- NPI 1487829842
-
- Podiatrist
- New Roads, LA
- NPI 1316225568
-
dba Pinnacle Personal Care
- In Home Supportive Care Agency
- Baton Rouge, LA
- NPI 1114355229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1639268196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 575",
"city": "LIVONIA",
"state": "LA",
"postal_code": "707550575",
"telephone_number": "225-718-5314",
"fax_number": "225-618-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 ROBERTS DR",
"address_2": "SUITE G",
"city": "NEW ROADS",
"state": "LA",
"postal_code": "707602661",
"telephone_number": "225-638-6640",
"fax_number": "225-618-0863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALECKI",
"first_name": "RICHARD",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "LA",
"license": "PD165R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "480026913",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1668842",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Roads, LA
- Our Lady of the Lake Physician Group LLC
- Our Lady of the Lake Physician Group LLC
- Our Lady of the Lake Physician Group LLC
- Our Lady of the Lake Physician Group LLC
- Alaina Ourso, RN
- Jeffery Parker
- Andrew Michael Parks, M.D.
- Anna Fortunato Payne, PTA
- Quentin Payne
- Pediatric Group of Acadiana, LLC (Oxbow Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.