Individual provider Active NPI

James C Sullivan, DPM

  • Podiatrist
  • North Smithfield, RI
National Provider Identifier
1740296086
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM00262 Issued in RI
Practice address
249 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone
(401) 269-5611
Fax
(401) 769-6238
NPI assigned
Jul 31, 2006
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM00262 RI Primary
Podiatrist 213E00000X 1944 MD

Addresses

Primary practice location

249 Eddie Dowling Hwy
North Smithfield, RI 02896

Mailing address

249 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 769-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040729001069 RI Practitioner - Podiatry 7719957430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
262RIMDMental Health Counselor
1944MDMDPodiatrist
DPM00262RIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Smithfield Foot and Ankle, Inc CurrentSince Jan 5, 2025 Accepting new patients
North Smithfield Podiatry Inc Podiatrist CurrentSince Oct 22, 2009 Accepting new patients
Matrix Sports Medicine & Physical Therapy Inc PastSince Jun 5, 2006 Accepting new patients

Locations

249 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 269-5611

Interoperability endpoints

  • Direct secure messaging: james.sullivan.1@15217.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1740296086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "02896",
            "telephone_number": "401-769-5611",
            "fax_number": "401-769-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "02896",
            "telephone_number": "401-269-5611",
            "fax_number": "401-769-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPM00262",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "1944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.