Individual provider Active NPI

Nicolas Arcuri, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jackson, TN
National Provider Identifier
1962740696
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
758 Issued in TN
Practice address
657 Skyline Dr
Suite a
Jackson, TN 38301-3903
Phone
(731) 427-5581
Fax
(731) 427-8257
NPI assigned
Jan 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X R80447 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 758 TN Primary

Addresses

Primary practice location

657 Skyline Dr
Suite a
Jackson, TN 38301-3903

Mailing address

657 Skyline Dr
Suite a
Jackson, TN 38301-3903
Phone (731) 427-5581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140911001124 TN Practitioner - Podiatry 9830318559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry Clinic of Jackson PLLCGroup PAC ID 0941594501, 6 clinicians

Practice addresses (Care Compare)

329 Coatsland Dr
Jackson, TN 38301-3912
Phone (731) 427-5581

Hospital & facility affiliations

  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
92.93
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue438
Removal of skin lesions93
Removal of nail tissue152
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R80447NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Clinic of Jackson PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2016 Accepting new patients

Locations

329 Coatsland Dr
Jackson, TN 38301
Phone (731) 424-5080

657 Skyline Dr
Ste A
Jackson, TN 38301
Phone (731) 427-5581

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17899/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicolas.arcuri.1@17899.direct.athenahealth.com

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1962740696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 SKYLINE DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013903",
            "telephone_number": "731-427-5581",
            "fax_number": "731-427-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 SKYLINE DR",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013903",
            "telephone_number": "731-427-5581",
            "fax_number": "731-427-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCURI",
        "first_name": "NICOLAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "R80447",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.