Active NPI
Timothy J Hart, DPM
- Podiatrist
- Burrillville, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM00222
- Practice address
- 1376 Broncos Hwy Rte 102
Burrillville, RI 02858 - Phone
- (401) 568-9980
- Fax
- (401) 769-2125
- NPI assigned
- Sep 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2162 | MA | |
| Podiatrist | 213E00000X | DPM00222 | RI | Primary |
Addresses
Primary practice location
1376 Broncos Hwy Rte 102
Burrillville, RI 02858
Mailing address
301 Mendon Road
Woonsocket, RI 02895
Phone (401) 769-5011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH00848 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1376 Bronco Hwy
Oakland, RI 02858-1000
Phone (401) 568-9980
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1028 |
| Removal or shaving of skin growth | 111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2162 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 222 | RI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Foot Care of Rhode Island PC | Podiatrist | Current | Accepting new patients |
| Franklin Foot Care of Rhode Island PC | Podiatrist | Current | Accepting new patients |
Locations
160 West St
Ste 2
Milford, MA 01757
Phone (508) 473-2273
1376 Bronco Hwy
Oakland, RI 02858
Phone (401) 568-9980
1376 Bronco Hwy
#102
Oakland, RI 02858
Phone (401) 568-9980
301 Mendon Rd
Woonsocket, RI 02895
Phone (401) 741-9616
Interoperability endpoints
- dr.hart@ffc.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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Woonsocket, RI
- NPI 1700350295
-
- Podiatrist
- Oakland, RI
- NPI 1568120954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1801988647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MENDON ROAD",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "02895",
"telephone_number": "401-769-5011",
"fax_number": "401-769-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1376 BRONCOS HWY RTE 102",
"city": "BURRILLVILLE",
"state": "RI",
"postal_code": "02858",
"telephone_number": "401-568-9980",
"fax_number": "401-769-2125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "2162",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "RI",
"license": "DPM00222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH00848",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burrillville, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.