Individual provider Active NPI

Victoria Lellis

  • Foot & Ankle Surgery Podiatrist
  • Cranston, RI
National Provider Identifier
1922682749
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00376 Issued in RI
Practice address
1591 Cranston St
Cranston, RI 02920-5141
Phone
(401) 946-9933
Fax
(401) 464-4493
NPI assigned
May 7, 2021
Last updated
Jun 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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 DPM00376 RI Primary

Addresses

Primary practice location

1591 Cranston St
Cranston, RI 02920-5141

Mailing address

12 Eddy Dr
Westerly, RI 02891-3331
Phone (631) 897-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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
I20240709002320 RI Practitioner - Podiatry 7911308010 Reassigns benefits to 1 organization
I20250228000163 MA Practitioner - Podiatry 7911308010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rhode Island Foot and Ankle Inc.Group PAC ID 1153346788, 3 clinicians

Practice addresses (Care Compare)

1591 Cranston St
Cranston, RI 02920-5141
Phone (401) 946-9933

738 Washington St
Attleboro, MA 02703-6948
Phone (508) 761-6025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue489
Removal or shaving of skin growth235
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM00376RIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Foot & Ankle, Inc. Podiatrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

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

1591 Cranston St
Cranston, RI 02920
Phone (401) 946-9933

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1922682749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EDDY DR",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913331",
            "telephone_number": "631-897-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1591 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205141",
            "telephone_number": "401-946-9933",
            "fax_number": "401-464-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELLIS",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

Verify at the official NPI Registry.