Active NPI
David M Colannino, DPM
- Podiatrist
- Smithfield, RI
National Provider Identifier
1811095706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM232
- Practice address
- 41 Sanderson Rd
Suite 207
Smithfield, RI 02917-2602 - Phone
- (401) 949-3220
- Fax
- (401) 949-3296
- NPI assigned
- Sep 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM232 | RI | Primary |
Addresses
Primary practice location
41 Sanderson Rd
Suite 207
Smithfield, RI 02917-2602
Mailing address
41 Sanderson Rd
Ste 104
Smithfield, RI 02917-2611
Phone (401) 949-3220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 489004216 | Other | MEDICARE GROUP | |
| 9D25829 | Medicaid | RI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Sanderson Rd
Suite 104
Smithfield, RI 02917-2611
Phone (401) 949-3220
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 19 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 554 |
| Removal or shaving of skin growth | 180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM232 | RI | MD | Podiatrist |
Interoperability endpoints
- dcolannino@gfaas-ri.direct.office.nextgen.com
Organizations & group practices 1
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.
-
- Podiatrist
- Smithfield, RI
- NPI 1740355379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1811095706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 SANDERSON RD",
"address_2": "STE 104",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029172611",
"telephone_number": "401-949-3220",
"fax_number": "401-949-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SANDERSON RD",
"address_2": "SUITE 207",
"city": "SMITHFIELD",
"state": "RI",
"postal_code": "029172602",
"telephone_number": "401-949-3220",
"fax_number": "401-949-3296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANNINO",
"first_name": "DAVID",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "RI",
"license": "DPM232",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "489004216",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9D25829",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.