Individual provider Active NPI

James McCormick, DPM

  • Foot Surgery Podiatrist
  • Wakefield, RI
National Provider Identifier
1972566644
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
DPM00281 Issued in RI
Practice address
24 Salt Pond Rd
Unit E1
Wakefield, RI 02879-4314
Phone
(401) 783-2424
Fax
(401) 789-2095
NPI assigned
Apr 11, 2006
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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 DPM00281 RI Primary

Addresses

Primary practice location

24 Salt Pond Rd
Unit E1
Wakefield, RI 02879-4314

Mailing address

24 Salt Pond Rd
Unit E1
Wakefield, RI 02879-4314
Phone (401) 783-2424

Other identifiers 18

IdentifierTypeStateIssuer
0000007213OtherGENERIC4 GROUP NUMBER
204928511OtherRIUNITED HEALTH CARE
400540OtherBLUE CHIP GROUP NUMBER
5807131OtherRIAETNA COMMERCIAL
AA69500OtherRIHARVARD PILGRIM
7008235MedicaidRI
480020466OtherGENERIC7
583173OtherGENERIC3
0000031649OtherRIBCBC OF RI
1358850OtherRIAETNA HMO
164100001OtherRIRAILROAD MEDICARE
1164100001OtherGENERIC6
2944OtherNEIGHBORHOOD HEALTH PLANS
580173OtherGENERIC3 GROUP NUMBER
9146868001OtherCIGNA GROUP NUMBER
400540OtherRIBLUE CHIP RI
9146868001OtherCIGNA
PT SSN #OtherRITRI CARE

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
I20040419001291 RI Practitioner - Podiatry 0446245963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1993
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
Melanoma (skin cancer) excision1-10
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue711
Removal or shaving of skin growth143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281RIMDPsychologist
DPM00281RIMDFoot Surgery Podiatrist

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 PastSince May 1, 2004 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

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 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1972566644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "UNIT E1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-783-2424",
            "fax_number": "401-789-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "UNIT E1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-783-2424",
            "fax_number": "401-789-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "RI",
            "license": "DPM00281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERIC4 GROUP NUMBER",
            "identifier": "0000007213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "204928511",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP GROUP NUMBER",
            "identifier": "400540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA COMMERCIAL",
            "identifier": "5807131",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA69500",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7008235",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERIC7",
            "identifier": "480020466",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERIC3",
            "identifier": "583173",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC OF RI",
            "identifier": "0000031649",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1358850",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "164100001",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERIC6",
            "identifier": "1164100001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLANS",
            "identifier": "2944",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERIC3 GROUP NUMBER",
            "identifier": "580173",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NUMBER",
            "identifier": "9146868001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP RI",
            "identifier": "400540",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9146868001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE",
            "identifier": "PT SSN #",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.