Individual provider Active NPI

Donal Matthew Erickson, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Syracuse, NY
National Provider Identifier
1912356171
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006950 Issued in NY
Practice address
7075 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone
(518) 322-9119
NPI assigned
Jun 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 006950 NY Primary

Addresses

Primary practice location

7075 Manlius Center Rd
East Syracuse, NY 13057-2607

Mailing address

7075 Manlius Center Rd
East Syracuse, NY 13057-2607
Phone (315) 446-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190624003268 NY Practitioner - Podiatry 8921332057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Ryan Damico DPM PLLCGroup PAC ID 0345485421, 5 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

7075 Manlius Ctr Rd
East Syracuse, NY 13057-2607
Phone (315) 446-3668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.29 of 100Reported as group
Quality
92.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue166
Removal of skin lesions42
Removal of nail tissue868
Removal or shaving of skin growth539
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan D'Amico DPM PLLC CurrentSince Jul 8, 2019 Accepting new patients

Locations

7075 Manlius Center Rd
East Syracuse, NY 13057
Phone (315) 446-3668

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 2

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1912356171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "315-446-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 MANLIUS CENTER RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572607",
            "telephone_number": "518-322-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "DONAL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.