Individual provider Active NPI

Douglas J Glod, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Providence, RI
National Provider Identifier
1851470595
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00234 Issued in RI
Practice address
250 Wampanog Trail
Suite 205
East Providence, RI 02915
Phone
(401) 431-0283
Fax
(401) 438-5956
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DPM00234 RI Primary

Addresses

Primary practice location

250 Wampanog Trail
Suite 205
East Providence, RI 02915

Mailing address

250 Wampanog Trail
Suite 205
East Providence, RI 02915
Phone (401) 431-0283

Other identifiers 1

IdentifierTypeStateIssuer
9007037MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040831000943 MA Practitioner - Podiatry 4082689245 Reassigns benefits to 1 organization
I20120216000230 RI Practitioner - Podiatry 4082689245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Foot Care, Inc.Group PAC ID 7214902469, 9 clinicians

Practice addresses (Care Compare)

1525 Wampanoag TRL
Suite 204
Riverside, RI 02915-1038
Phone (401) 228-6710

649 E Ave
Pawtucket, RI 02860-6157
Phone (401) 305-5088

738 Washington St
Attleboro, MA 02703-6948
Phone (508) 761-6045

Hospital & facility affiliations

  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue491
Removal of skin lesions1-10
Removal of nail tissue541
Removal or shaving of skin growth183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Foot Care, Inc Foot & Ankle Surgery CurrentSince Jul 1, 1995 Accepting new patients
Nardone Medical Associates, Inc. Past Accepting new patients

Locations

60 Messenger St
Plainville, MA 02762
Phone (508) 695-0055

738 Washington St
South Attleboro, MA 02703
Phone (508) 761-6025

649 East Ave
Pawtucket, RI 02860
Phone (401) 305-3800

333 School St
Ste 102
Pawtucket, RI 02860
Phone (401) 724-7722

1525 Wampanoag Trl
Ste 202
Riverside, RI 02915
Phone (401) 203-3636

250 Wampanoag Trl
Ste 205
Riverside, RI 02915
Phone (401) 431-0283

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.

Hospital & facility affiliations 7

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1851470595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WAMPANOG TRAIL",
            "address_2": "SUITE 205",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-431-0283",
            "fax_number": "401-438-5956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WAMPANOG TRAIL",
            "address_2": "SUITE 205",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-431-0283",
            "fax_number": "401-438-5956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOD",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007037",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.