Eric Jason Buchbaum, DPM
Individual provider Active NPI Foot Surgery Podiatrist · Wakefield, RI
NPI 1952365652 · NPPES record last updated Mar 20, 2018
Key facts
- NPI
- 1952365652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- DPM00302 (RI)
- Practice address
- 1 High St
Wakefield, RI 02879-3103 - Phone
- (401) 789-1422
- Fax
- (401) 782-6810
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedics Rhode Island Inc
Ptsma Inc
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
- South County Home Health
- South County Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 204 |
| Removal of skin lesions | 22 |
| Removal of nail tissue | 744 |
| Removal or shaving of skin growth | 261 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040419000917 | RI | Practitioner - Podiatry | 6608861125 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedics Rhode Island, Inc | Current |
Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current |
Accepting new patients | |
| Shoreline Podiatry, LLC | Past | Accepting new patients | |
| Shoreline Podiatry, Inc | Past |
Accepting new patients |
Locations
900 Warren Ave
Ste 202
East Providence, RI 02914
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
1 High St
Wakefield, RI 02879
Phone (401) 789-1422
300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708
268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | DPM00302 | RI | Yes |
Addresses
Primary practice location
1 High St
Wakefield, RI 02879-3103
Mailing address
1 High St
Wakefield, RI 02879-3103
Phone (401) 789-1422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000021254 | Other | GENERIC4 | |
| 11092609 | Other | RI | CAQH# |
| 407225 | Other | BLUE CHIP GROUP # | |
| SSN#-TAX ID# 2049285 | Other | RI | RAILROAD MEDICARE |
| ZDZ388 | Other | MED EX | |
| 2382382 | Other | GENERIC3 | |
| 4024 | Other | RI | NEIGHBORHOOD HEALTH RI |
| 5095486002 | Other | CIGNA | |
| AETNA COM 7342159 | Other | RI | AETNA HMO 1359024 |
| PT SSN# | Other | RI | TRI CARE |
| 204928511 | Other | PR | UNITED HEALTH CARE |
| 0000031650 | Other | RI | BCBS |
| 3916940001 | Other | GENERIC6 | |
| 407225 | Other | RI | BLUE CHIP |
| 432037955 | Other | MED EX GROUP # | |
| 480034977 | Other | GENERIC7 | |
| 7009003 | Medicaid | RI | |
| AA69503 | Other | RI | HARVARD PILGRIM |
Other providers in Wakefield, RI
- Sarah S Browne
- Danielle T Bryant
- Rachel Bryer
- Stacie J Brzoska
- Anne Marie Buchanan
- Susan Beth Burgoyne
- Pamela A Burlingame
- David B Burns
- Kristen Lee Burns
- Burrows Mental Health Counseling Inc
All providers in Wakefield, RI · Foot Surgery Podiatrist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.