Individual provider Active NPI

Adam Paul Mucinskas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Cromwell, CT
National Provider Identifier
1689780132
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000768 Issued in CT
Practice address
162 West St Ste K
Cromwell, CT 06416-4405
Phone
(860) 632-5499
Fax
(860) 632-5515
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 000768 CT
Foot & Ankle Surgery Podiatrist 213ES0103X 000768 CT Primary

Addresses

Primary practice location

162 West St Ste K
Cromwell, CT 06416-4405

Mailing address

162 West St Ste K
Cromwell, CT 06416-4405
Phone (860) 632-5499

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041012000911 CT Practitioner - Podiatry 2668432998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

162 W St
Suite K
Cromwell, CT 06416-4405
Phone (860) 632-5499

Hospital & facility affiliations

  • Middlesex Hospital Hospital, Middletown, CT, CCN 070020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue74
Removal of skin lesions1-10
Removal of nail tissue263
Removal or shaving of skin growth78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000768CTMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Feet First Foot Care Specialists, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2005 Accepting new patients
Bloomfield Foot Specialists,LLC Past Accepting new patients
Bloomfield Foot Specialists,LLC Foot & Ankle Surgery PastSince Jul 1, 2003 Accepting new patients
Connecticut Foot Specialists, P.C. Foot & Ankle Surgery PastSince Jul 1, 2006 Accepting new patients

Locations

154 West St
Ste A
Cromwell, CT 06416
Phone (203) 533-8259

162 West St
Ste K
Cromwell, CT 06416
Phone (860) 632-5499

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1689780132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 WEST ST STE K",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164405",
            "telephone_number": "860-632-5499",
            "fax_number": "860-632-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 WEST ST STE K",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164405",
            "telephone_number": "860-632-5499",
            "fax_number": "860-632-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCINSKAS",
        "first_name": "ADAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": "000768",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CT",
            "license": "000768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

Verify at the official NPI Registry.