Individual provider Active NPI

Eric Jason Buchbaum, DPM

  • Foot Surgery Podiatrist
  • Wakefield, RI
National Provider Identifier
1952365652
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
DPM00302 Issued in RI
Practice address
1 High St
Wakefield, RI 02879-3103
Phone
(401) 789-1422
Fax
(401) 782-6810
NPI assigned
Apr 12, 2006
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X DPM00302 RI Primary

Addresses

Primary practice location

1 High St
Wakefield, RI 02879-3103

Mailing address

1 High St
Wakefield, RI 02879-3103
Phone (401) 789-1422

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
I20040419000917 RI Practitioner - Podiatry 6608861125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians
Ptsma IncGroup PAC ID 7911800180, shared by 11 NPIs, 173 clinicians

Practice addresses (Care Compare)

1 High St
Wakefield, RI 02879-3103
Phone (401) 777-7000

37 S Broad St
Unit 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue204
Removal of skin lesions22
Removal of nail tissue744
Removal or shaving of skin growth261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc CurrentSince Oct 1, 2017 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Oct 1, 2017 Accepting new patients
Shoreline Podiatry, LLC Past Accepting new patients
Shoreline Podiatry, Inc PastSince Sep 1, 2006 Accepting new patients

Locations

900 Warren Ave
Ste 202
East Providence, RI 02914

1 High St
Wakefield, RI 02879
Phone (401) 789-1422

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017

Organizations & group practices 4

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 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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1952365652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793103",
            "telephone_number": "401-789-1422",
            "fax_number": "401-782-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793103",
            "telephone_number": "401-789-1422",
            "fax_number": "401-782-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHBAUM",
        "first_name": "ERIC",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "RI",
            "license": "DPM00302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.