Active NPI
Dennis A Tuck, DPM
- Podiatrist
- Peabody, MA
National Provider Identifier
1992852099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1640
- Practice address
- 100 Brooksby Village Dr
Peabody, MA 01960-1438 - Phone
- (978) 536-7580
- Fax
- (877) 280-9727
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1640 | MA | Primary |
Addresses
Primary practice location
100 Brooksby Village Dr
Peabody, MA 01960-1438
Mailing address
5525 Research Park Drive
4TH Floor
Baltimore, MD 21228-4664
Phone (978) 536-7850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110015405A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Crossing Blvd
Suite 300
Framingham, MA 01702-5401
Phone (617) 964-6681
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 2257 |
| Removal or shaving of skin growth | 621 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1640 | MA | MD | Chiropractor |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992852099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 RESEARCH PARK DRIVE",
"address_2": "4TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284664",
"telephone_number": "978-536-7850",
"fax_number": "877-280-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BROOKSBY VILLAGE DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601438",
"telephone_number": "978-536-7580",
"fax_number": "877-280-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCK",
"first_name": "DENNIS",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1640",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110015405A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.