Ezra Dottino, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000686 Issued in CT

Practice address

777 Echo Lake Rd Unit F
Watertown, CT 06795

Phone

(860) 274-1773

NPI assigned

Jun 9, 2005

Last updated

Sep 12, 2018By 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

Other identifiers 7

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. McHugh and Associates, P.C.Group PAC ID 5496640831, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

57.31 of 100Reported as individual

Quality

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73317

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.

• Dr. McHugh and Associates, P.C.

  • Podiatrist
  • Watertown, CT
  • NPI 1942204797
  Medicare reassignment Care Compare group NPD
• Eastern Connecticut Foot Specialists PC

  • Foot & Ankle Surgery Podiatrist
  • Norwich, CT
  • NPI 1689873887
  Medicare reassignment NPD
• Dr. McHugh and Associates, P.C.

  • Customized Equipment (DME)
  • Watertown, CT
  • NPI 1598769234

  Podiatrist

  NPD

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1700880580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 ECHO LAKE RD UNIT F",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067956618",
            "telephone_number": "860-274-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ECHO LAKE RD UNIT F",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "06795",
            "telephone_number": "860-274-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Wawecus St",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602160",
            "country_code": "US",
            "telephone_number": "860-887-3538",
            "fax_number": "860-887-1394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTTINO",
        "first_name": "EZRA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P3348525",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004178126",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00144204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V5210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS",
            "identifier": "7571237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS",
            "identifier": "5394697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND SHEILD",
            "identifier": "030000686CT03",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diya Corporation (Health Complex Pharmacy)
• Diya Corporation (Health Complex Pharmacy Inc)
• Caleigh Dodge, RPH
• Donald C Demas, DDS, Ms, PC
• Stacey Marie Dotson, LCSW
• Dr. McHugh and Associates, P.C.
• Dr. McHugh and Associates, P.C.
• Riann Duffy, NP
• Caroline Eagan, LCSW,MSW,BSW
• Eagle Medical Transport LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.