Active NPI
Kimberly Inocco, DPM
- Foot & Ankle Surgery Podiatrist
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1142
- Practice address
- 300 Hebron Ave Ste 104
Glastonbury, CT 06033-2176 - Phone
- (860) 633-9004
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00368700 | NJ | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1142 | CT | Primary |
Addresses
Primary practice location
300 Hebron Ave Ste 104
Glastonbury, CT 06033-2176
Mailing address
300 Hebron Ave Ste 104
Glastonbury, CT 06033-2176
Phone (860) 633-9004
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Ctr Rock GRN
Suite 3
Oxford, CT 06478-3170
Phone (203) 941-6999
Hospital & facility affiliations
- Hartford Healthcare at Home
- St Francis Hospital & Medical Center
- Hartford Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 134 |
| Removal of skin lesions | 17 |
| Removal of nail tissue | 372 |
| Removal or shaving of skin growth | 119 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00368700 | NJ | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vale Foot and Ankle Surgery, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Vale Foot and Ankle Surgery, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
300 Hebron Ave
Ste 104
Glastonbury, CT 06033
Phone (203) 941-6999
350 Center Rock Grn
Ste 3
Oxford, CT 06478
Phone (203) 870-1796
Interoperability endpoints
- https://api.platform.athenahealth.com/21145/brand/1/csg/1/fhir/r4
- kimberly.inocco.1@21145.direct.athenahealth.com
Organizations & group practices 2
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
- Oxford, CT
- NPI 1144852575
-
- Durable Medical Equipment & Medical Supplies
- Oxford, CT
- NPI 1225664410
Foot & Ankle Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1073529566
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1821550757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HEBRON AVE STE 104",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332176",
"telephone_number": "860-633-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HEBRON AVE STE 104",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332176",
"telephone_number": "860-633-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOCCO",
"first_name": "KIMBERLY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00368700",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CT",
"license": "1142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glastonbury, CT
- Kenneth R Inchalik, MD
- Inner Peace Counseling
- Inner Wisdom Psychotherapy
- Innerlight Wellness Counseling PLLC
- Innovative Solutions Counseling, LLC
- Integrated Dermatology of Glastonbury PLLC
- Integrative Clinical Associates
- Intuitive Journey Counseling Services LLC
- Irina Chernyshkova, MD, LLC
- Gary Isenberg, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.