NPIMap

Individual provider Active NPI

Joseph K Domenico, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • North Smithfield, RI
National Provider Identifier
1972780583
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM00327 Issued in RI
Practice address
249 Eddie Dowling Hwy
North Smithfield, RI 02896-8213
Phone
(401) 769-5611
Fax
(401) 769-6238
NPI assigned
Jan 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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 DPM00327 RI Primary

Addresses

Primary practice location

249 Eddie Dowling Hwy
North Smithfield, RI 02896-8213

Mailing address

345 Armistice Blvd
Pawtucket, RI 02861-2429
Phone (401) 725-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000118 RI Practitioner - Podiatry 9436291002 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prospect Chartercare Sjhsri LLCGroup PAC ID 7315179314, 32 clinicians
North Smithfield Foot and Ankle, IncGroup PAC ID 0143745570, 2 clinicians
Blackstone Valley Foot and Ankle IncGroup PAC ID 2769708684, 2 clinicians

Practice addresses (Care Compare)

2 Wake Robin Rd
Fatima Hospital Wound Care Group
Lincoln, RI 02865-4295
Phone (401) 334-3830

249 Eddie Dowling Hwy
North Smithfield, RI 02896-8213
Phone (401) 769-5611

345 Armistice Blvd
Pawtucket, RI 02861-2429
Phone (401) 725-5576

345 Armistice Boulevard
Pawtucket, RI 02861-2429

Hospital & facility affiliations

  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue211
Removal of skin lesions48
Removal of nail tissue806
Removal or shaving of skin growth477
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Smithfield Foot and Ankle, Inc Foot & Ankle Surgery CurrentSince Jan 17, 2025 Accepting new patients
Blackstone Valley Foot and Ankle Inc. Foot & Ankle Surgery CurrentSince Dec 1, 2014 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jun 1, 2014 Accepting new patients
Chartercare Our Lady of Fatima Hospital CurrentSince May 28, 2025 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince Jun 1, 2014 Accepting new patients
Chartercare Our Lady of Fatima Hospital CurrentSince May 28, 2025 Accepting new patients
North Smithfield Podiatry Inc PastSince Oct 29, 2009 Accepting new patients

Locations

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

249 Eddie Dowling Hwy
North Smithfield, RI 02896
Phone (401) 269-5611

345 Armistice Blvd
Pawtucket, RI 02861
Phone (401) 725-5576

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15217/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joseph.domenico.1@15217.direct.athenahealth.com

Organizations & group practices 7

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 6

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": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1972780583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ARMISTICE BLVD",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028612429",
            "telephone_number": "401-725-5576",
            "fax_number": "401-725-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 EDDIE DOWLING HWY",
            "city": "NORTH SMITHFIELD",
            "state": "RI",
            "postal_code": "028968213",
            "telephone_number": "401-769-5611",
            "fax_number": "401-769-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENICO",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "DPM00327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Smithfield, RI

Sources for this page

Verify at the official NPI Registry.