Individual provider Active NPI

Joshua Peter Manning, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cambridge, MA
National Provider Identifier
1811456270
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00372 Issued in RI
Practice address
330 Mount Auburn Street
South 2- Department of Surgery
Cambridge, MA 02138-5502
Phone
(617) 627-2420
NPI assigned
Mar 15, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 211D00000X
Foot & Ankle Surgery Podiatrist 213ES0103X DPM00372 RI Primary

Addresses

Primary practice location

330 Mount Auburn Street
South 2- Department of Surgery
Cambridge, MA 02138-5502

Mailing address

1087 Warwick Ave
Warwick, RI 02888-3545
Phone (508) 498-7238

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
I20220817001963 RI Practitioner - Podiatry 7618350075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South County Foot and Ankle, Inc.Group PAC ID 2365574928, 5 clinicians

Practice addresses (Care Compare)

1087 Warwick Ave
Warwick, RI 02888-3545
Phone (401) 354-7966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
81.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of nail tissue2169
Removal or shaving of skin growth659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM00372RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South County Foot & Ankle, Inc. Single Specialty CurrentSince Sep 1, 2022 Accepting new patients

Locations

24 Salt Pond Rd
Ste E1
Wakefield, RI 02879
Phone (401) 783-0410

1087 Warwick Ave
Warwick, RI 02888
Phone (401) 354-7966

1087 Warwick Ave
Unit 1
Warwick, RI 02888
Phone (401) 354-7966

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.

Hospital & facility affiliations 3

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1811456270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1087 WARWICK AVE",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883545",
            "telephone_number": "508-498-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN STREET",
            "address_2": "SOUTH 2- DEPARTMENT OF SURGERY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-627-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JOSHUA",
        "middle_name": "PETER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.